| NPI | 1730369174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RAY FOWLER Owner 972-540-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 6289) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2022-03-17 |