| NPI | 1669243978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE A OLIVER Chiropractor 210-545-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-02-02 |