| NPI | 1851693618 |
|---|---|
| Doing Business As | SPINE & SPORTS WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D VENNELL Owner 806-356-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 11599) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2018-11-07 |