| NPI | 1851697189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY J TAYLOR President 817-879-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: TX 11601) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 11601) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-06-16 |