| NPI | 1942567631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS NIETO Chiropractor 915-329-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: TX 10219) |
| 111NR0400X | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |