| NPI | 1013235019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TERESA MILNE Owner 817-572-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 5279) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-07-28 |