MEDICARE: BARRAS CHIROPRACTIC, PC

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

General Provider Information

NPI Number	:	1427008713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRAS CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	2525 WALLINGWOOD DR
Second Line	:	STE 1 B
City	:	AUSTIN
State	:	TX
Zip	:	78746-6900
Country	:	US
Telephone Number	:	512-306-0211
Fax Number	:	512-306-0909

Provider Business Practice Location Address
First Line	:	2525 WALLINGWOOD DR
Second Line	:	STE 1 B
City	:	AUSTIN
State	:	TX
Zip	:	78746-6900
Country	:	US
Telephone Number	:	512-306-0211
Fax Number	:	512-306-0909

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD J DANIELS
Credential	:	DC
Telephone Number	:	512-306-0211

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/22/2020

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