| NPI | 1013199850 |
|---|---|
| Doing Business As | BASTROP BACK & NECK CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES H POLSKY President 512-321-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6586) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |