| NPI | 1831966787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEU MITCHELL PHAM Owner / Physician 469-939-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-05-21 |