Healthcare Provider Details

I. General information

NPI: 1619192085
Provider Name (Legal Business Name): NEBLETT ENTERPRISES, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4029 S. CAPITAL OF TEXAS HWY. SUITE 100
AUSTIN TX
78704-7918
US

IV. Provider business mailing address

4029 S. CAPITAL OF TEXAS HWY. SUITE 100
AUSTIN TX
78704-7918
US

V. Phone/Fax

Practice location:
  • Phone: 512-326-1400
  • Fax: 512-326-1463
Mailing address:
  • Phone: 512-326-1400
  • Fax: 512-326-1463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8163
License Number StateTX

VIII. Authorized Official

Name: DR. DONALD THOMAS NEBLETT JR.
Title or Position: PARTNER
Credential: D.C.
Phone: 51233261400