Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 14163 | TX |
NPI | 1003960501 |
---|---|
Provider Name | Maki Drollinger |
First Address | Katy, TX 77449 |
Second Address | Katy, TX 77449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 16/09/2019 |