| NPI | 1649557422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J GRAY Owner 817-656-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |