| NPI | 1881215069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL MURADOV Owner 832-522-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-10-26 |