| NPI | 1891461802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHISTEE LACY Owner 214-893-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-08-16 |