MEDICARE: DR. DWAYNE GREEN MCCLAUGHERTY 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	10223	TX

General Provider Information

NPI Number	:	1063558104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DWAYNE GREEN MCCLAUGHERTY D.C.

Provider Business Mailing Address
First Line	:	12400 AMHERST DR STE 116
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-5322
Country	:	US
Telephone Number	:	512-814-0166
Fax Number	:	512-814-0167

Provider Business Practice Location Address
First Line	:	12400 AMHERST DR STE 116
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-5322
Country	:	US
Telephone Number	:	512-814-0166
Fax Number	:	512-814-0167

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/11/2026

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Directions to “ DR. DWAYNE GREEN MCCLAUGHERTY D.C.” Practice Location

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