| NPI | 1356782023 |
|---|---|
| Doing Business As | HEALTHSOURCE OF BAYTOWN |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE PUCKETT Owner 281-383-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8264) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2015-02-16 |