NPI | 1417143405 |
---|---|
Doing Business As | SPINAL DECOMPRESSION OF FORT WORTH |
Entity Type | Organization |
Authorized Contact | RAND H LEWIS President 817-560-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX F007684) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |