| NPI | 1053771840 | 
|---|---|
| Doing Business As | SPORTMED CHIROPRACTIC FORT WORTH | 
| Entity Type | Organization | 
| Authorized Contact | JASON TODD REDLER Owner 817-439-9890 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 10353) | 
| Enumeration Date | 2016-03-07 | 
| Last Update Date | 2016-03-07 |