Organization
AUSTIN CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA VAUGHN (CORPORATE PRESIDENT & TREASURER)
(512) 445-3366
Entity
Organization
Contact information
Practice address
6800 W GATE BLVD, SUITE 117, AUSTIN, TX 78745-4883
(512) 445-3366
Mailing address
6800 W GATE BLVD, SUITE 117, AUSTIN, TX 78745-4883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000025CP
BC & BS GROUP NUMBER
TX
Enumeration date
03/06/2007
Last updated
08/22/2020
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