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NPI Code Detail

MEDICARE: FAITH SANDOVAL DC

MEDICARE:   FAITH  SANDOVAL  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
1111N00000XChiropractor16873TX

General Provider Information

NPI Number : 1558292318
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH SANDOVAL DC
Provider Business Mailing Address
First Line : 10544 SIGNAL HILL VW
Second Line :
City : AUSTIN
State : TX
Zip : 78737-8810
Country : US
Telephone Number : 512-777-9750
Fax Number :
Provider Business Practice Location Address
First Line : 9217 W US HIGHWAY 290 STE 150
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7818
Country : US
Telephone Number : 512-222-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ FAITH SANDOVAL DC” Practice Location

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