MEDICARE: DR. AUSTIN SANFORD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	12127	TX

General Provider Information

NPI Number	:	1326382946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN SANFORD D.C.

Provider Business Mailing Address
First Line	:	3936 AMBERWOOD DR
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4426
Country	:	US
Telephone Number	:	972-740-8187
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 BELT LINE RD FL 7
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4323
Country	:	US
Telephone Number	:	972-740-8187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	01/14/2021

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Directions to “ DR. AUSTIN SANFORD D.C.” Practice Location

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