Organization
FUNCTIONAL MEDICINE OF AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C EVANS D.C. (CHIROPRACTOR)
(512) 758-1558
Entity
Organization
Contact information
Practice address
1909 GARDEN ST, AUSTIN, TX 78702-5508
(512) 758-1558
Mailing address
1909 GARDEN ST, AUSTIN, TX 78702-5508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11150
TX
Other
Enumeration date
05/19/2009
Last updated
08/11/2014
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