| NPI | 1952597866 |
|---|---|
| Doing Business As | PRIME LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KELLI KOREEN MOORE Manager 972-424-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX DC9953) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-01-16 |