| NPI | 1386117810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE VALENCIA Owner 281-704-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |