Organization
HAWTHORNE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN G HAWTHORNE DC (OWNER)
(512) 448-2225
Entity
Organization
Contact information
Practice address
3300 BEE CAVE RD, SUITE 390, WEST LAKE HILLS, TX 78746-6600
(512) 448-2225
(512) 329-9669
Mailing address
3300 BEE CAVE RD, SUITE 390, WEST LAKE HILLS, TX 78746-6600
(512) 448-2225
(512) 329-9669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F007007
FACILITY LICENSE
TX
Enumeration date
09/16/2009
Last updated
09/16/2009
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