| NPI | 1043937063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES MORENO Manager 832-707-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-05-04 |