| NPI | 1104545805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONKE ODIGIE Administrator 281-973-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NN0400X Chiropractor, Neurology | |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-11-29 |