NPI age
16 years
Enumerated 2010-05-18
Across 1738 active physical medicine & rehabilitation providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1306165295 | |
| 05 (IN) | 300017310 | |
| 05 (KY) | 7100556760 | |
| 05 (SC) | NC2127 |
Part of a multi-provider practice. 167 other active providers share this practice address in NPPES.
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