NPI | 1922179308 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | JOHN COPPOLA Owner 210-492-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC 7211) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2016-02-16 |