| NPI | 1376690834 |
|---|---|
| Doing Business As | PREMIER CHIROPRACTIC OF SOUTHLAKE |
| Entity Type | Organization |
| Authorized Contact | JOHN RYAN PRICE President 817-912-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9820) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 9820) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2015-06-18 |