| NPI | 1710088430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DALE STOLBA Owner 903-794-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9041) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1623) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |