Organization
ELEDGE FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA JOHNSON (BILLING MANAGER)
(512) 396-8351
Entity
Organization
Contact information
Practice address
900 RR 620 S, STE C 209, LAKEWAY, TX 78734-5615
(512) 263-8008
(512) 263-1769
Mailing address
900 RR 620 S, STE C 209, LAKEWAY, TX 78734-5615
(512) 263-8008
(512) 263-1769
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DC 10686
TX
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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