| |
13219 N Highway 183, Suite H, Austin, TX 78750-3249 | |
(512) 918-9222 | |
(512) 401-0222 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 13219 N Highway 183, Austin, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972624831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9921 (Texas) | Primary |
111NN0400X | Chiropractor - Neurology | 0202 (Texas) | Primary |
171100000X | Acupuncturist | 0104 (Texas) | Primary |
Mailing Address | Practice Location Address |
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13219 N Highway 183, Suite H, Austin, TX 78750-3249 Ph: (512) 918-9222 | 13219 N Highway 183, Suite H, Austin, TX 78750-3249 Ph: (512) 918-9222 |