| NPI | 1871869826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ST. LAURENT Owner/Physician 972-479-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10667) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: TX 10667) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |