| NPI | 1790261766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY FLORES Business Office Manager 806-317-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |