Organization
NISAL CORPORATION
Active
Other names
San Jacinto Aquatic Therapy & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA SIMS CREDENTIALING (COORDINATOR)
(832) 428-2963
Entity
Organization
Contact information
Practice address
2802 SAN JACINTO ST, HOUSTON, TX 77004-2700
(713) 658-1777
(713) 650-6915
Mailing address
2040 NORTH LOOP W STE 103, HOUSTON, TX 77018-8109
(713) 622-9838
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
12/06/2010
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