| NPI | 1710198866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY TALLON Director 214-361-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX F006323) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-02-18 |