| NPI | 1013964543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE LOREN HENDRICK Owner 956-630-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10328) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10329) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 796415) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-04-05 |