NPI age
20 years
Enumerated 2005-12-07
Across 56 active physical medicine & rehabilitation providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 004522600 | |
| 01 (FL) | FW586Z | MEDICARE PTAN |
Part of a multi-provider practice. 246 other active providers share this practice address in NPPES.
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