| NPI | 1871540054 |
|---|---|
| Former Legal Business Name | IMPACT MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SHEILA POUND Owner 270-881-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-09-23 |