| NPI | 1265562987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STANGENWALD WILSON President 817-281-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10088) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |