NPI | 1417545476 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD S NEWSONE Owner 817-268-4404 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-01-05 |