NPI | 1073726956 |
---|---|
Doing Business As | HOME CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLES ALLEN WICKWARE Owner 830-792-4663 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2007-05-08 |
Last Update Date | 2012-02-22 |