| NPI | 1134267867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DUSEK Owner 972-422-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX E0056) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9505) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-06-09 |