| NPI | 1194692871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LEE President 332-227-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |