| NPI | 1780946772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ROSE Practice Manager 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L2799) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-06-26 |