| NPI | 1104186634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA SHAWNEE LONG Practice Manager 830-776-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4664) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-08-22 |