Organization
BCDC PLLC
Active
Organization
BCDC PLLC
Active
Other names
Discover Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ALAN CLARK DC (CHIROPRACTOR)
(512) 288-7000
Entity
Organization
Contact information
Practice address
4634 W GATE BLVD, AUSTIN, TX 78745-1461
(512) 288-7000
Mailing address
4634 W GATE BLVD, AUSTIN, TX 78745-1461
(512) 288-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191247
—
TX
Enumeration date
04/29/2008
Last updated
02/01/2016
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