| NPI | 1558036129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT CHALMERS President 469-323-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician |
| 174H00000X Health Educator | |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-08-15 |