| NPI | 1427356591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHARLES MARENO Managing Member/Owner 985-713-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11687) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |