NPI | 1598077315 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANDRADE Practitioner/Owner 512-371-1886 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11195) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11423) |
Enumeration Date | 2010-07-09 |
Last Update Date | 2024-11-07 |