MEDICARE: DR. MARSHALL FREEMAN DC

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	14125	TX

General Provider Information

NPI Number	:	1326605288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALL FREEMAN DC

Provider Business Mailing Address
First Line	:	10700 ANDERSON MILL RD STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2402
Country	:	US
Telephone Number	:	512-335-8700
Fax Number	:	512-335-8702

Provider Business Practice Location Address
First Line	:	10700 ANDERSON MILL RD STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2402
Country	:	US
Telephone Number	:	512-335-8700
Fax Number	:	512-335-8702

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

Provider Enumeration Date	:	05/24/2019
Last Update Date	:	05/24/2019

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