NPI | 1114118965 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MATTHEW MAITLEN Chiropractor / Owner 817-292-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10692) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |