| NPI | 1508083395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY HENSON Office Manager 817-461-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8215) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10353) |
| 225100000X Physical Therapist (Licence: TX 1079499) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-08-15 |