| NPI | 1497997753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE THOMAS Claims Manager 512-940-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |