| NPI | 1922645332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN PAUL BARNWELL Owner 281-827-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |