| NPI | 1508086281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SHAWN STANDIFER Owner 214-623-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8482) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 8482) |
| 111NR0200X Chiropractor, Radiology (Licence: TX 8482) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 8482) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: TX 8482) | |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 8482) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: TX 8482) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-12-14 |