NPI | 1588853071 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN DUDYCHA Chiropractor 830-907-3811 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 10132) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |