| NPI | 1801052980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN H NGUYEN Director 972-416-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 10720) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TX 10720) |
| 305S00000X Point of Service (Licence: TX 10720) | |
| 111N00000X Chiropractor (Licence: TX 10720) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2009-01-28 |