| NPI | 1881604429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL R ROBERTS Manager Supervisor 214-275-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-13 |