| NPI | 1841472115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN TESSMAN Owner/Provider 817-641-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9660) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-12-30 |