| NPI | 1023180619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SHANUABU Business Administrator 713-270-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9248) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10138) |
| 111N00000X Chiropractor (Licence: TX 5616) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |