Individual
DR. LAYNE PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4401 FREIDRICH LN STE 301, AUSTIN, TX 78744-1852
(815) 978-1599
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 477-7654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
14456
TX
111NR0400X
Rehabilitation Chiropractor
Primary
14456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14456
TEXAS BOARD OF CHIROPRACTIC
TX
Enumeration date
07/24/2020
Last updated
06/19/2024
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