| NPI | 1396140547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON E HARRISON Owner 903-597-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX D7080) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |