NPI | 1235773284 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY STOWE Owner 214-498-4866 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-11-03 |
Last Update Date | 2022-01-07 |