| NPI | 1962707893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MOSS Chiropractor 817-641-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 9831) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |