| NPI | 1174752059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON JUSTIN GREGOR Officer 214-561-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 9412) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |