NPI | 1275614760 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK STENSON Owner/Clinical Director 281-545-9917 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8329) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2022-07-21 |