| 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 |