| NPI | 1982008942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH THE LUU Direector 281-804-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX 9027) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: TX 1160378) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |