Individual
DR. AZUCENA PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1106 CLAYTON LN STE 103E, AUSTIN, TX 78723-1037
(512) 553-2818
Mailing address
609 CLAYTON LN APT 635, AUSTIN, TX 78752-0622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5003
NC
Other
Enumeration date
09/02/2019
Last updated
07/10/2022
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