| NPI | 1942593470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ROBERTS Owner 214-284-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-06-28 |