Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | 3363 | OH |
NPI | 1174733968 |
---|---|
Provider Name | James Pacios JR. |
First Address | Rowlett, TX 75088-3602 |
Second Address | Rowlett, TX 75088-3602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 22/02/2019 |