| NPI | 1861822546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MENZES Owner 512-689-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 110741) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2014-01-12 |