Organization
ROUND ROCK HEALTHCARE & CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M CORREIA D.C (PRESIDENT)
(512) 388-3880
Entity
Organization
Contact information
Practice address
301 HESTERS CROSSING RD, SUITE 212, ROUND ROCK, TX 78681-6946
(512) 388-3880
(512) 388-3946
Mailing address
301 HESTERS CROSSING RD, SUITE 212, ROUND ROCK, TX 78681-6946
(512) 388-3880
(512) 388-3946
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605583
MEDICARE PTAN
TX
Enumeration date
01/26/2016
Last updated
01/26/2016
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