NPI | 1528330875 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHA SHANI FIELDS BREWER Owner 972-850-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 111916) |
Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: TX 11916) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |