NPI | 1962489310 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER F CROWDER CEO 409-935-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 617670000) |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 520220000) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2012-02-13 |