NPI | 1356532527 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS BOMBEN Owner 512-587-4263 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 10330) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2012-01-13 |