| NPI | 1982827911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ATHALIE EVANS President 512-407-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 5925) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 103021) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |