| NPI | 1538533062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MALLOY Owner/Provider 817-346-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 111NX0100X Chiropractor, Occupational Health | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-07-18 |