| NPI | 1891538351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN LEVI MCQUEARY Owner 270-380-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-09-26 |