| NPI | 1891916896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI K MOORE Manager 903-583-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX 4273) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-10-29 |