| 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 |