Organization
ABSOLUTE LIFE WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHADDOCK D.C. (CEO/ OWNER)
(512) 280-6103
Entity
Organization
Contact information
Practice address
1807 W SLAUGHTER LN, SUITE 450, AUSTIN, TX 78748-6230
(512) 280-6103
Mailing address
1807 W SLAUGHTER LN, SUITE 450, AUSTIN, TX 78748-6230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11665
TX
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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