| NPI | 1013111269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE MARTIN Office Manager 210-341-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 7315) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 7034) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-11-17 |