MEDICARE: INNER SUN CHIROPRACTIC PC

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	8206	TX

General Provider Information

NPI Number	:	1770874208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER SUN CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	1211 W 6TH ST STE 800
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-5220
Country	:	US
Telephone Number	:	512-708-0905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 W 6TH ST STE 800
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-5220
Country	:	US
Telephone Number	:	512-708-0905
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZACHARY BLOOM
Credential	:	DC
Telephone Number	:	580-354-9009

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	01/26/2026

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