| NPI | 1154829273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HANSEN Owner/Chiropracitor 972-984-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10518) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: TX 10518) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |