| NPI | 1659634079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA RUTH BOWEN Member 903-663-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6817) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6818) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |