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Organization

JACKSON PK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL A SHROGIN DC (CLINICIAN)
(805) 478-3760
Entity
Organization

Contact information

Practice address
9701 BRODIE LN STE 202, AUSTIN, TX 78748-6284
(512) 326-2520
Mailing address
9701 BRODIE LN STE 202, AUSTIN, TX 78748-6284
(512) 326-2520

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13075
TX

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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