NPI | 1528236155 |
---|---|
Former Legal Business Name | HEALTHSOURCE CHIROPRACTIC OF CLEAR LAKE |
Entity Type | Organization |
Authorized Contact | KRISTEN MARIE MARTINEZ Office Manager 281-286-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8109) |
Enumeration Date | 2008-02-17 |
Last Update Date | 2013-09-11 |