| NPI | 1184878019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN RAYMOND DOOLEY Owner 972-291-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: TX 6986) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |