| NPI | 1164800702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD MARTINEZ Chiropractor 817-800-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557192) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |