| NPI | 1174739809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY HOLM CFO 713-829-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104555702) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-04-27 |