| NPI | 1063839181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER SAMUEL HERNANDEZ Provider/Owner 915-307-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9979) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-04-22 |