| NPI | 1851667497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINDA HARDEN Vice President 281-546-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1601) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1602) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |