NPI | 1730365651 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY LLOYD Owner/Provider 979-774-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 8580) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2008-07-31 |