NPI | 1275653180 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK RE DAVIS Owner 817-543-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX DC7836) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |