| NPI | 1699183145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANON FRANK OSWALD Owner 281-948-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-01-06 |