| NPI | 1649656000 |
|---|---|
| Doing Business As | INNOVATIVE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHNATHON Y BOYD Owner 281-395-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC5270) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-20 |