NPI | 1336868090 |
---|---|
Doing Business As | ROACH FAMILY CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | EDWIN COLLAZO Owner 254-680-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2022-08-25 |
Last Update Date | 2023-04-26 |