| NPI | 1750955191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA SEXTON Credentialing/Ins Coor 817-498-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |