| NPI | 1275716425 |
|---|---|
| Former Legal Business Name | MOUNTAIN STAR INJURY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ART ARCHULETA President 915-781-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9245) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 4847) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |