| NPI | 1649290867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNJAY WAGLE Operating Partner 972-620-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-08-24 |