| NPI | 1801078753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A DIRNBERGER Owner 817-419-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX L5305) |
| Additional Taxonomies | 208VP0000X (Licence: TX L5305) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-04-28 |