| NPI | 1700612421 |
|---|---|
| Doing Business As | CHIROPRACTIC LAKELINE MALL |
| Entity Type | Organization |
| Authorized Contact | MUSA SYED HASAN Chiropractor 903-372-6915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |