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NPI Code Detail

MEDICARE: CHRISTY LOCK SUTTON D.C.

MEDICARE: CHRISTY LOCK SUTTON 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
1111N00000XChiropractor11669TX

General Provider Information

NPI Number : 1407152077
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY LOCK SUTTON D.C.
Provider Business Mailing Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 512-328-4041
Fax Number : 512-328-5114
Provider Business Practice Location Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 512-328-4041
Fax Number : 512-328-5114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2011
Last Update Date : 01/09/2013

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Directions to “ CHRISTY LOCK SUTTON D.C.” Practice Location

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