| NPI | 1740596295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD TEITELBAUM President 817-335-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX G8457) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2010-08-22 |