| NPI | 1194908210 |
|---|---|
| Doing Business As | REAGAN CHIROSPORT CENTER |
| Entity Type | Organization |
| Authorized Contact | CAMILLE CATHERINE REAGAN Owner/Chiropractor 214-280-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 9065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10579) |
| 111N00000X Chiropractor (Licence: TX 12077) | |
| 111N00000X Chiropractor (Licence: TX 11661) | |
| 225100000X Physical Therapist (Licence: TX 1153020) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-12-06 |