| NPI | 1770736167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS STACY Owner/Administrator 254-200-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 8758) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |