NPI | 1295274629 |
---|---|
Entity Type | Organization |
Authorized Contact | CASEY HO Chief Medical Officer 832-304-4973 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 11398) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1178397) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2023-02-22 |