| NPI | 1376835736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F QUINN LEWIS Manager/CEO 325-513-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11212) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 5449) |
| 363LF0000X Nurse Practitioner Family (Licence: TX F0914439) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-11-25 |