Individual
ALICIA BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1313 RANCH ROAD 620 S STE 106, LAKEWAY, TX 78734-6333
(512) 568-8274
Mailing address
1313 RANCH ROAD 620 S STE 106, LAKEWAY, TX 78734-6333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14043
TX
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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