NPI | 1194860338 |
---|---|
Entity Type | Organization |
Authorized Contact | W. BRENT THOMPSON Owner 972-247-2295 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 2412) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9613) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |