| NPI | 1558795716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD COOPER Owner 817-690-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |