MEDICARE: ACCIDENT & FAMILY CHIROPRACTIC CENTER

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1275642068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCIDENT & FAMILY CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	9300 S I H 35 STE C-300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:	512-280-8225
Fax Number	:	512-280-8570

Provider Business Practice Location Address
First Line	:	9300 S I H 35 STE C-300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1733
Country	:	US
Telephone Number	:	512-280-8225
Fax Number	:	512-280-8570

Authorized Official
Title or Position	:	OWNER/FINANCIAL EXECUTIVE
Name	:	SYLVIA ANN MARTINEZ
Credential	:
Telephone Number	:	512-280-8225

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/29/2009

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