Organization
INNATE GENESIS LLC
Active
Other names
Austin Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCE METHOT DC (OWNER)
(512) 387-8733
Entity
Organization
Contact information
Practice address
115 SUNDANCE PKWY STE 340, ROUND ROCK, TX 78681-7840
(512) 387-8733
(512) 387-8733
Mailing address
115 SUNDANCE PKWY STE 340, ROUND ROCK, TX 78681-7840
(512) 387-8733
(512) 387-8733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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