| NPI | 1962689422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLYZIK Owner/Provider 817-416-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1082675) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-07-31 |