| NPI | 1861671919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WADE KLARE Owner 361-729-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1096576) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |