| NPI | 1922573138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS M MANN Owner 214-945-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |