MEDICARE: DR. DONALD THOMAS NEBLETT JR. 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	8163	TX

General Provider Information

NPI Number	:	1356344212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD THOMAS NEBLETT JR. D.C.

Provider Business Mailing Address
First Line	:	10815 FARM RD 2222
Second Line	:	BLDG. 3C, STE. 100
City	:	AUSTIN
State	:	TX
Zip	:	78730-1159
Country	:	US
Telephone Number	:	512-345-9355
Fax Number	:	512-345-9357

Provider Business Practice Location Address
First Line	:	10815 FARM RD 2222
Second Line	:	BLDG. 3C, STE. 100
City	:	AUSTIN
State	:	TX
Zip	:	78730-1159
Country	:	US
Telephone Number	:	512-345-9355
Fax Number	:	512-345-9357

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/22/2015

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