| NPI | 1952477473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MOORE LOCKHART Physian Assistant 832-605-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4449) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |