Provider Demographics
NPI:1043205735
Name:LAWSON, WILLIAM MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARTIN
Last Name:LAWSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108A S LAMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4994
Mailing Address - Country:US
Mailing Address - Phone:512-326-2520
Mailing Address - Fax:512-326-1355
Practice Address - Street 1:2108A S LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4994
Practice Address - Country:US
Practice Address - Phone:512-326-2520
Practice Address - Fax:512-326-1355
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1831296011OtherNPI GROUP #
TX8F0978Medicare PIN