MEDICARE: DR. CASEY AUSTIN MORGAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	12254	TX

General Provider Information

NPI Number	:	1013257138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASEY AUSTIN MORGAN D.C.

Provider Business Mailing Address
First Line	:	1611 W 5TH ST STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-4889
Country	:	US
Telephone Number	:	512-472-1116
Fax Number	:	512-472-1171

Provider Business Practice Location Address
First Line	:	1611 W 5TH ST STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-4889
Country	:	US
Telephone Number	:	512-472-1116
Fax Number	:	512-472-1171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	08/31/2020

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