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 | |
Enumeration Date | 2022-08-25 |
Last Update Date | 2022-11-29 |