| NPI | 1760293708 |
|---|---|
| Former Legal Business Name | MO CITY CHIROPRACTIC AND WELLNESS CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | SHALONDA ELLIS Manager 832-440-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |