| NPI | 1073765293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALTER HINES President 918-682-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK OK3845) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK OK2620) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |