| NPI | 1760830566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LONG Administrator 214-865-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX F0011931) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-03-09 |