| NPI | 1053554907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA LEANN RICANO Secretary 281-337-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 5625) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8763) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |