| NPI | 1578760617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELHAM KAIVAN-MEHR Associate 972-701-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9504) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9455) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: TX J3024) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-10-19 |