| NPI | 1306166145 |
|---|---|
| Doing Business As | IMPACT CHIROSPORT |
| Entity Type | Organization |
| Authorized Contact | JOSHUA EDWARDS Owner/Dc 214-284-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10069) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-06-16 |