| NPI | 1902202625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA STEVENS AO 972-364-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2025-06-19 |