| NPI | 1417198276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAY GERHARD Owner 817-264-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 11064) |
| Enumeration Date | 2009-03-08 |
| Last Update Date | 2020-11-04 |