| NPI | 1295302347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORCHA ANDERSON Clinical Director 469-346-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |