| NPI | 1275068314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARTIN Chief Administration Officer 817-921-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69237) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX J6589) | |
| 225100000X Physical Therapist (Licence: TX 1068195) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: TX AP133741) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |