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 |