| NPI | 1073933842 |
|---|---|
| Doing Business As | HEALTHSOURCE OF COLLEYVILLE |
| Entity Type | Organization |
| Authorized Contact | SHASHI UPADHYAYA Owner/Authorized Official 214-476-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |