| NPI | 1568696219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN RICHARD Director Of Operations 972-795-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 5138) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |