| NPI | 1457690638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LISERIO TORRES Owner 210-468-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 11313) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |