Individual
DR. AUSTIN DANIEL VAN POOLE
Active
Individual
DR. AUSTIN DANIEL VAN POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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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