Individual
DR. VINCENT BELLONZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,CCN
Contact information
Practice address
1700 S LAMAR BLVD, 240, AUSTIN, TX 78704-8962
(512) 473-8900
(512) 472-9898
Mailing address
1700 S LAMAR BLVD, 240, AUSTIN, TX 78704-8962
(512) 473-8900
(512) 472-9898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1181
NM
111NN1001X
Nutrition Chiropractor
Primary
6272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742704522
TAX IDENTIFICATION
TX
Enumeration date
10/10/2006
Last updated
08/31/2009
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