| NPI | 1568689339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J MAYFIELD President 318-323-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1315) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1067) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-12-05 |