| NPI | 1801648159 |
|---|---|
| Doing Business As | HEALTHSOURCE OF SOUTHWEST LUBBOCK |
| Entity Type | Organization |
| Authorized Contact | CALEB SCHNEIDER Sole Member 805-759-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |