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NPI Code Detail

MEDICARE: FAMILY CHIROPRACTIC CENTER, INC.

MEDICARE: FAMILY CHIROPRACTIC CENTER, INC.
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
1111N00000XChiropractor2383TX

General Provider Information

NPI Number : 1407942832
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CHIROPRACTIC CENTER, INC.
Provider Business Mailing Address
First Line : 4201 BEE CAVE RD
Second Line : SUITE C212
City : WEST LAKE HILLS
State : TX
Zip : 78746-6465
Country : US
Telephone Number : 512-347-8033
Fax Number : 512-347-8034
Provider Business Practice Location Address
First Line : 4201 BEE CAVE RD
Second Line : SUITE C212
City : WEST LAKE HILLS
State : TX
Zip : 78746-6465
Country : US
Telephone Number : 512-347-8033
Fax Number : 512-347-8034
Authorized Official
Title or Position : PRESIDENT
Name : MARK SANDERS
Credential : D.C.
Telephone Number : 512-347-8033
Provider Enumeration Date : 10/05/2006
Last Update Date : 08/22/2020

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Directions to “FAMILY CHIROPRACTIC CENTER, INC. ” Practice Location

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