| NPI | 1780035774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS D MARCIAL Managing Provider 972-875-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 9980) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 10136) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |