| NPI | 1235233750 |
|---|---|
| Doing Business As | OPTIMUM CHIROPRACTIC AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | COLIN TKACHUK Chiropractor 817-481-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9771) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-06-16 |