| NPI | 1649604380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY D CARMACK Owner 469-262-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 10941) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-07-15 |