| NPI | 1962769018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DAVIS Director Of Patient Accounting 325-793-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 114711) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |