NPI | 1407010747 |
---|---|
Former Legal Business Name | SANDY LAKE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JAMES E. BROWN Clinic Director 972-393-8067 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10543) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2008-10-09 |