| NPI | 1356719991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONIA D JOHNSON Manager 832-288-0328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-23 |