NPI | 1548556780 |
---|---|
Doing Business As | CHAMPION CHIROPRATIC, PC |
Entity Type | Organization |
Authorized Contact | TODD LEE MOORE Owner/President 512-263-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2011-06-27 |
Last Update Date | 2018-10-30 |