| NPI | 1952609364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD DONALD KELLY Treating Doctor 214-942-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX DC6007) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2012-12-26 |