| NPI | 1275871048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MATTHEW STEPHEN CEO 469-301-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12239) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2019-07-10 |