Individual
ALEXANDRIA ELIZABETH IMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2098 MUIRFIELD BEND DR STE 125, HUTTO, TX 78634-3582
(737) 212-0439
(512) 857-6368
Mailing address
3603 ROCKY HOLLOW TRL UNIT A, GEORGETOWN, TX 78628-2424
(512) 528-5299
(512) 528-5309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14812
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
07/12/2021
Last updated
08/05/2021
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