| NPI | 1679879779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON LEE WALL Doctor Of Chiropractic 817-886-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX 10734) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |