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Individual

CHASE A DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CSCS

Contact information

Practice address
208 W POWELL LN, AUSTIN, TX 78753-5931
(512) 686-6611
Mailing address
3816 S LAMAR BLVD APT 2712, AUSTIN, TX 78704-7955
(253) 241-7803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14470
TX
111N00000X
Chiropractor
CHR.0008161
CO

Other

Enumeration date
01/22/2020
Last updated
07/30/2021
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