| NPI | 1841313509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAYMOND BLUM Owner, President 469-387-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 09098) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: TX 6068) |
| 305S00000X Point of Service (Licence: TX 6068) | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-07-09 |