| |
701 E Whitestone Blvd, Ste 100, Cedar Park, TX 78613-6944 | |
(512) 371-7478 | |
(512) 371-3861 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 701 E Whitestone Blvd, Cedar Park, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730639618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9693 (Texas) | Secondary |
208D00000X | General Practice | F9289 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
1015 W 39th 1/2 St, Austin, TX 78756-4005 Ph: (512) 371-7478 | 701 E Whitestone Blvd, Ste 100, Cedar Park, TX 78613-6944 Ph: (512) 371-7478 |