| NPI | 1487757878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN L WEDDLE Chiropractor 214-265-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6798) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX N6319) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-06-26 |