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NPI Code Detail

MEDICARE: DEYOUNG CHIROPRACTIC, LLC

MEDICARE: DEYOUNG CHIROPRACTIC, LLC
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
1305S00000XPoint of Service

General Provider Information

NPI Number : 1154897866
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEYOUNG CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 8106 BRODIE LN STE 107
Second Line :
City : AUSTIN
State : TX
Zip : 78745-7468
Country : US
Telephone Number : 512-442-7999
Fax Number : 512-442-8244
Provider Business Practice Location Address
First Line : 8106 BRODIE LN STE 107
Second Line :
City : AUSTIN
State : TX
Zip : 78745-7468
Country : US
Telephone Number : 512-442-7999
Fax Number : 512-442-8244
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY W DEYOUNG
Credential : DC
Telephone Number : 512-442-7999
Provider Enumeration Date : 10/19/2018
Last Update Date : 10/19/2018

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Directions to “DEYOUNG CHIROPRACTIC, LLC ” Practice Location

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