Organization
EASTSIDE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAAS J FOURIE D.C. (OWNER)
(512) 391-0880
Entity
Organization
Contact information
Practice address
1715 E 7TH ST, AUSTIN, TX 78702-2712
(512) 391-0880
(512) 391-0880
Mailing address
1715 E 7TH ST, AUSTIN, TX 78702-2712
(512) 391-0880
(512) 391-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11116
TX
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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