| NPI | 1104329564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DAWN DEPASQUALE GREGORY Owner 281-541-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12859) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-08-23 |