| NPI | 1861842767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A SANDEFUR CEO 281-362-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TX J4247) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: TX J4247) |
| 225100000X Physical Therapist | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |