| NPI | 1750996336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE WILLIAMSON CEO 469-969-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NR0200X Chiropractor, Radiology | |
| 111NR0400X Chiropractor, Rehabilitation | |
| 111NS0005X Chiropractor, Sports Physician | |
| 111NX0800X Chiropractor, Orthopedic | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |