| NPI | 1487019139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GENE MUNOZ Owner 817-408-5685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: WY 742) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |