| NPI | 1952958274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ASHLEY-ESCOTO President 817-580-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-07-12 |