Healthcare Provider Details

I. General information

NPI: 1922298264
Provider Name (Legal Business Name): TEXAS CHIROPRACTIC AND REHAB, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 MEDICAL PKWY SUITE 310
CEDAR PARK TX
78613-7899
US

IV. Provider business mailing address

1603 MEDICAL PKWY SUITE 310
CEDAR PARK TX
78613-7899
US

V. Phone/Fax

Practice location:
  • Phone: 512-918-2225
  • Fax: 512-918-2229
Mailing address:
  • Phone: 512-918-2225
  • Fax: 512-918-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10631
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: AARON DOUGLAS SMITH
Title or Position: PRESIDENT
Credential: D.C.
Phone: 512-876-9461