| NPI | 1669741849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E KOUDELKA Owner/Manager 281-229-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX 10355) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |