| NPI | 1609042324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILSON Doctor 915-833-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 4937) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |