| NPI | 1790177012 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | CARMEN V. MCZEAL Alternate Administrator 281-309-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-03-05 |