NPI age
17 years
Enumerated 2009-02-11
Across 14 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | N3371 | MEDICAL LICENSE |
| 05 (TX) | 209214004 |
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
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