NPI | 1215287701 |
---|---|
Entity Type | Organization |
Authorized Contact | DENIELLE SPAIN Office Administrator 214-205-8915 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4425) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: TX 2728294) |
174H00000X Health Educator (Licence: TX 2728293) | |
207L00000X Anesthesiology | |
207LP2900X Anesthesiology, Pain Medicine | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2016-06-14 |