| NPI | 1770888315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DONOVAN Owner 817-332-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX H6169) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2018-12-06 |