| NPI | 1790718146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON W CHRISTIE Practice Manager 512-218-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 661480000) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-07-30 |