NPI | 1154552834 |
---|---|
Former Legal Business Name | IDEAL HEALTH OF DALLAS |
Entity Type | Organization |
Authorized Contact | LESA GILLEZEAU ANSELL Owner/Chiropractor 972-291-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8020) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2014-12-12 |