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NPI Code Detail

MEDICARE: HOLISTIC CHIROPRACTIC AND WELLNESS PLLC

MEDICARE: HOLISTIC CHIROPRACTIC AND WELLNESS PLLC
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
1261Q00000XClinic/Center13348TX

General Provider Information

NPI Number : 1881182137
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLISTIC CHIROPRACTIC AND WELLNESS PLLC
Provider Business Mailing Address
First Line : 2251 DOUBLE CREEK DR STE 304
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-246-0220
Fax Number :
Provider Business Practice Location Address
First Line : 2251 DOUBLE CREEK DR STE 304
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3831
Country : US
Telephone Number : 512-246-0220
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. DARIN KRIEGER
Credential :
Telephone Number : 512-864-5156
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/23/2018

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Directions to “HOLISTIC CHIROPRACTIC AND WELLNESS PLLC ” Practice Location

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