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 |