| NPI | 1790157964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE MAYO Clincal Director 254-394-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1177343) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-09-20 |