| NPI | 1932291697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALLEN ELMS Owner 817-341-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 651220000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-11-08 |