| |
6611 River Place Blvd, Suite 302, Austin, TX 78730-1162 | |
(512) 467-1100 | |
(512) 467-1101 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 6611 River Place Blvd, Austin, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942217377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | (Texas) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
10601 Ranch Road 2222, Suite R52, Austin, TX 78730-1134 Ph: (512) 289-1424 | 6611 River Place Blvd, Suite 302, Austin, TX 78730-1162 Ph: (512) 467-1100 |