| NPI | 1982617858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COMBS Manager 817-419-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 7906) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: TX 7906) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-03-29 |