NPI | 1548508732 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN BENEDICT Owner 915-591-0680 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 8790) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1189796) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2015-05-08 |