| NPI | 1699835496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY HENSON Officer Manager 817-461-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8215) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX N4225) |
| 225100000X Physical Therapist (Licence: TX 1079499) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-05-15 |