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Individual

DR. AUSTIN DANIEL VAN POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1805 HINKLE DR # 150, DENTON, TX 76201-1768
(800) 404-6050
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
15481
TX
111NR0400X
Rehabilitation Chiropractor
Primary
15481
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15481
CHIROPRACTIC LICENSE
TX
Enumeration date
01/30/2023
Last updated
08/28/2023
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