| NPI | 1568919421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON TOLLETT Regional Director 713-539-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-16 |