| NPI | 1821260621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIIFER E RIDLEY Doctor 817-485-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: TX 10449) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |