| NPI | 1437453545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JAMES LIESVELD Chiropractor 832-671-8569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: TX 11339) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |