| NPI | 1134362114 |
|---|---|
| Doing Business As | BODYLOGICMD OF THE WOODLANDS |
| Entity Type | Organization |
| Authorized Contact | WADE HUEY Director 888-826-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G5190) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |