| NPI | 1891357026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STOWE Authorized Official 214-498-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-01-07 |