Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 10640 | TX |
NPI | 1134160856 |
---|---|
Provider Name | Dr. Todd Matthew Elsner |
First Address | Mansfield, TX 76063-7705 |
Second Address | Mansfield, TX 76063-7705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 14/10/2010 |