| NPI | 1295815959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHAPMAN Medical Director 936-271-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-01-22 |