| NPI | 1245746189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EDWARDS Managing Member / Manager 214-455-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13269) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |