| NPI | 1861752214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DUCHON Director 409-744-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2013-04-04 |