| NPI | 1013463678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ROBERT LACROIX Chiropractor 512-657-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 13032) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-03-17 |