| NPI | 1871043646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH BURTON Owner 817-337-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1234302) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |