Healthcare Provider Details
I. General information
NPI: 1427008713
Provider Name (Legal Business Name): BARRAS CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2525 WALLINGWOOD DR STE 1 B
AUSTIN TX
78746-6900
US
IV. Provider business mailing address
2525 WALLINGWOOD DR STE 1 B
AUSTIN TX
78746-6900
US
V. Phone/Fax
- Phone: 512-306-0211
- Fax: 512-306-0909
- Phone: 512-306-0211
- Fax: 512-306-0909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
J
DANIELS
Title or Position: OWNER
Credential: DC
Phone: 512-306-0211