| NPI | 1255534145 |
|---|---|
| Doing Business As | SOUTHLAKE SPINE & SPORTS |
| Entity Type | Organization |
| Authorized Contact | ELENA V. OLCOTT President 512-266-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9663) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |