NPI | 1194962373 |
---|---|
Entity Type | Organization |
Authorized Contact | PHOUNSAVATH ANDY PHILACHACK Chiropractor 972-272-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8631) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2009-01-13 |