| NPI | 1962663708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L. BLAVIER Managing Director 903-939-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10652) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |