| NPI | 1467998690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN POWERS BALFOUR Owner 214-529-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX ME3587) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT024244) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-12 |