| NPI | 1336317148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL FLOYD Director 469-737-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: TX 5094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 141477) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |