Healthcare Provider Details

I. General information

NPI: 1710182522
Provider Name (Legal Business Name): ZYGMONT CHIROPRACTIC CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 S LAMAR BLVD STE 650
AUSTIN TX
78704-7993
US

IV. Provider business mailing address

4036 S LAMAR BLVD STE 600
AUSTIN TX
78704-7992
US

V. Phone/Fax

Practice location:
  • Phone: 512-442-7400
  • Fax: 512-442-7405
Mailing address:
  • Phone: 512-442-7400
  • Fax: 512-442-7408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MS. COLETTE Y ZYGMONT
Title or Position: OWNER
Credential: D.C.
Phone: 512-442-7400