| NPI | 1962647354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARS OOMS Owner 281-719-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX MDH6938) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1140655) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2015-09-18 |