| NPI | 1780834325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNA L JACKSON-PAREKH Owner 512-363-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N0126) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-01-10 |