| NPI | 1568636249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHONG TRUNG NGO Owner 832-606-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC9633) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: TX DC9633) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-07-07 |