Individual
DANIEL STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13104 BROUGHTON WAY, AUSTIN, TX 78727-3148
(972) 480-2659
Mailing address
13104 BROUGHTON WAY, AUSTIN, TX 78727-3148
(972) 480-2659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11786
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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