| NPI | 1164936993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS TODD ANTHONY Doctor / Owner 325-788-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11744) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 11744) |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 11744) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-01-31 |