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Organization
RADIANT WELLNESS
Active
Organization
RADIANT WELLNESS
Active
Other names
Austin Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHANTA PARIKH (AUTHORIZED OFFICIAL)
(512) 473-8900
Entity
Organization
Contact information
Practice address
1700 S LAMAR BLVD, SUITE 240, AUSTIN, TX 78704-8962
(512) 473-8900
Mailing address
PO BOX 1816, SAN ANTONIO, TX 78296
(512) 473-8900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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