| NPI | 1013328517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE LAIN Owner 512-268-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11596) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |