| NPI | 1639799521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE REAGAN Owner 972-503-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NX0100X Chiropractor Occupational Health |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |