| NPI | 1932328986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L ANTMAN Registered Agent 409-762-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: TX DC4392) |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine (Licence: TX K6521) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |