NPI | 1942446067 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIGAIL HOLLIS BLACKBURN Sole Proprietor, Owner 512-420-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10841) |
Enumeration Date | 2008-12-18 |
Last Update Date | 2018-01-08 |