| NPI | 1760686893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PHILLIPS Proprietor 210-545-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |