NPI | 1588187942 |
---|---|
Former Legal Business Name | TEXAS GONSTEAD LLC |
Entity Type | Organization |
Authorized Contact | JUNESUK LEE Dc/Owner 972-906-9986 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11133) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2018-07-10 |