NPI | 1114655529 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON JAMES BOONE Physician/Owner 940-736-0212 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2022-08-12 |
Last Update Date | 2022-08-12 |