| 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 Chiropractor, Rehabilitation (Licence: TX DC9953)  | 
| Enumeration Date | 2007-09-25 | 
| Last Update Date | 2013-01-16 |