| 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 |