| NPI | 1154514313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F VANDEWALLE Dr./Owner 512-343-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 2771) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11404) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2010-03-17 |