| NPI | 1215119698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY K SHY Dr Gregory K Shy, Owner 972-789-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8643) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2011-03-28 |