| NPI | 1124456686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNALDO ANTONIO LOPEZ President 817-821-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 12455) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12455) |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 12455) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 12455) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 12455) | |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |