| NPI | 1104850429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DAVID JAILLET Owner 972-395-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 6689) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |