| NPI | 1316191984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMERO CAVAZOS Owner 214-914-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX 11011) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: TX 11018) |
| 225100000X Physical Therapist (Licence: TX 1152378) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |