| NPI | 1700292810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUYEN NGUYEN-DEEBOOCKUM Owner/Provider 281-492-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11243) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-01-06 |