NPI | 1265702534 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRETT BARY President 512-345-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9921) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: TX 0104) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2012-01-04 |