Organization
CCH CHIROPRACTIC PC
Active
Other names
Elite Chiropractic P.L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN HILLIARD (DC)
(512) 699-1155
Entity
Organization
Contact information
Practice address
12233 RANCH ROAD 620 N, SUITE 107, AUSTIN, TX 78750-1092
(512) 699-1155
Mailing address
12233 RANCH ROAD 620 N, SUITE 107, AUSTIN, TX 78750-1092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017HZ
BCBS GRP
TX
01
—
00550T
MEDICARE GRP
TX
01
—
1003828401
INDIVIDUAL NPI
TX
01
—
1922211077
NPI GRP
TX
01
—
8G2141
BCBS
TX
Enumeration date
05/07/2007
Last updated
07/19/2011
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