NPI | 1114160827 |
---|---|
Doing Business As | HEALTHSOURCE OF HIGHLAND PARK |
Entity Type | Organization |
Authorized Contact | R TODD PETERSEN Owner 214-739-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 09289) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2014-10-30 |