| 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 |