| NPI | 1518046580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON J FORSTER President 512-834-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 5724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1098549) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-12-05 |