| NPI | 1891103503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LEE ELLIS Owner 903-624-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J3091) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-11-10 |