| NPI | 1245456540 |
|---|---|
| Other Name | WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | RANDAL FLOYD Lc Manager 469-212-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 5539) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 25360) |
| 225X00000X Occupational Therapist (Licence: TX 104540) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-09-16 |