Individual
GARY SEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1613 W 6TH ST, AUSTIN, TX 78703-5075
(512) 478-1613
(512) 478-1752
Mailing address
1613 W 6TH ST, AUSTIN, TX 78703-5075
(512) 478-1613
(512) 478-1752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011314-01
—
TX
01
—
601053
BLUE CROSS BLUE SHIELD
TX
01
—
74-2286938
TAX
TX
01
—
DC2668
PIN
TX
Enumeration date
05/25/2006
Last updated
09/28/2012
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