Organization
FEDESNA CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAYMOND FEDESNA D.C. (OWNER)
(512) 835-1182
Entity
Organization
Contact information
Practice address
8740 N LAMAR BLVD., AUSTIN, TX 78753-5440
(512) 835-1182
(512) 835-1888
Mailing address
8740 N LAMAR BLVD., AUSTIN, TX 78753-5440
(512) 835-1182
(512) 835-1888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2434
TX
Other
Enumeration date
09/22/2008
Last updated
02/10/2009
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