| NPI | 1669861415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA LEE CRISP Owner 817-431-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: TX 9557) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-09-08 |