| NPI | 1215713094 |
|---|---|
| Doing Business As | HEALTHSOURCE OF DE ZAVALA |
| Entity Type | Organization |
| Authorized Contact | OLULANA BAMIRO Managing Partner 214-642-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |