| NPI | 1700182607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A DESTEFANO President 210-495-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 8088) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |