| NPI | 1114492709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT RICHARD PROCTER Chiropractor/Owner 817-441-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |