| NPI | 1043645369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD ANTHONY BROWN Operation Officer 832-831-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: TX F0010541) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: TX F0010541) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-12-12 |