| NPI | 1982254355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE KINKADE CEO 713-995-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-11-27 |