Healthcare Provider Details

I. General information

NPI: 1710014014
Provider Name (Legal Business Name): CAPITOL OF TEXAS CHIROPRACTIC CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 EIGER RD SUITE 160
AUSTIN TX
78735-8976
US

IV. Provider business mailing address

5625 EIGER RD SUITE 160
AUSTIN TX
78735-8976
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 Code261Q00000X
TaxonomyClinic/Center
License NumberDC6885
License Number StateTX

VIII. Authorized Official

Name: DR. DONALD MCKINLEY
Title or Position: OWNER
Credential: D.C.
Phone: 512-326-1400