| NPI | 1255675377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE NEGRON Clinic Director 469-432-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 503) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: PR 401) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |