NPI | 1265594501 |
---|---|
Doing Business As | CHAMPIONS CLINIC OF PHYSICAL MEDICINE & REHAB |
Entity Type | Organization |
Authorized Contact | RENSAY M DAVIS Owner 940-264-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6286) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9671) |
207Q00000X Family Medicine | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2019-05-03 |