| NPI | 1235997594 |
|---|---|
| Former Legal Business Name | BROKEN BOW CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TOBE THACKER Owner 580-316-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-04-01 |