| NPI | 1679793293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT CHAD BLACKWELL President 972-270-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: TX 6524) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |