| NPI | 1912210592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY SWEENEY Co Owner 210-340-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11442) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: TX 11441) |
| 111NN0400X Chiropractor, Neurology (Licence: TX 11442) | |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 11441) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TX 11442) | |
| 111NR0400X (Licence: TX 11442) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |