| NPI | 1992985394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITESH R PRASAD Owner 903-593-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K1283) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2012-06-11 |