| NPI | 1629220066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI KOREEN MOORE Owner 214-683-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC4273TX) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-08-09 |