| NPI | 1316130263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L HANSON Owner 214-616-3355 |
| Organization Subpart ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4238) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TX AC00179) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-04-16 |