| Discover Chiropractic | |
|
4634 W Gate Blvd Austin TX 78745-1461 | |
| (512) 288-7000 | |
| Not Available |
| Full Name | Discover Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4634 W Gate Blvd, Austin, Texas |
| Authorized Official Name and Position | Brian Alan Clark (CHIROPRACTOR) |
| Authorized Official Contact | 5122887000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discover Chiropractic 4634 W Gate Blvd Austin TX 78745-1461 Ph: (512) 288-7000 | Discover Chiropractic 4634 W Gate Blvd Austin TX 78745-1461 Ph: (512) 288-7000 |
| NPI Number | 1952576019 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 02/01/2016 |
| Medicare PECOS PAC ID | 2466736319 |
|---|---|
| Medicare Enrollment ID | O20170221002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952576019 | NPI | - | NPPES |
| 191247 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10645 (Texas) | Primary |
| Provider Name | Brian A Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023296977 PECOS PAC ID: 3274683917 Enrollment ID: I20090618000117 |
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