NPI | 1184838658 |
---|---|
Entity Type | Organization |
Authorized Contact | RON TRIBENDIS Owner 972-250-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX 9662) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-05-16 |