| NPI | 1295841070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNA CARLA JUMAO-AS Office Manager 972-392-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC4635) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX DC4635) |
| 225100000X Physical Therapist (Licence: TX DC4635) | |
| 225X00000X Occupational Therapist (Licence: TX 111489) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |