| NPI | 1124276944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS BRADLEY FAVORITE Owner/President 972-953-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3865) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2014-05-08 |