NPI age
3 years
Enumerated 2022-12-06
Across 116 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AT8912 | STATE LICENSE |
| 01 | 2000022854 | BOC CERTIFICATION |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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