| NPI | 1578741963 |
|---|---|
| Former Legal Business Name | SANDY LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN NIMPHIUS Clinic Director 972-393-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9184) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-07-16 |