| NPI | 1083144570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LAROSE Manager 713-966-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |