| NPI | 1851459457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WENDELL LOBB Physician 979-821-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX k8939) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-12-13 |