| NPI | 1811170624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRADLEY BURDIN Clinic Director 210-690-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: TX DC6933) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX S06747) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX C3739) | |
| 225X00000X Occupational Therapist (Licence: TX 109851) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |