Organization
ALEX VANDEWALLE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER C. VANDEWALLE (OWNER)
(512) 474-0700
Entity
Organization
Contact information
Practice address
503 OAKLAND AVE, AUSTIN, TX 78703-5113
(512) 474-0700
Mailing address
503 OAKLAND AVE, AUSTIN, TX 78703-5113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9715
TX
Other
Enumeration date
09/06/2006
Last updated
02/23/2009
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