| NPI | 1225235823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CALCOTE Proprietor 210-735-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-08-28 |