Organization
AMERICAN CHIROPRACTIC CLINIC - AUSTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE MICHELLE RUSSO (MANAGER)
(512) 680-6479
Entity
Organization
Contact information
Practice address
4210 SPICEWOOD SPRINGS RD STE 205, AUSTIN, TX 78759-8654
(512) 346-5567
(512) 231-1087
Mailing address
4210 SPICEWOOD SPRINGS RD STE 205, AUSTIN, TX 78759-8654
(512) 346-5567
(512) 231-1087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2757
TX
111NR0200X
Radiology Chiropractor
2757
TX
Other
Enumeration date
10/08/2009
Last updated
07/12/2023
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