| NPI | 1003005646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE WILLIAMSON CEO 214-563-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10235) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 10235) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 10235) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-12-29 |