| NPI | 1992905988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC SIMEON VANDYKEN Chiropracator 281-345-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10178) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |