| NPI | 1942532841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUCAS Office Manager 512-745-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10422) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 10422) |
| 111NX0800X Chiropractor, Orthopedic (Licence: TX 10422) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |