Provider Demographics
NPI:1083719520
Name:ALBRACHT, DAVID E SR (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:ALBRACHT
Suffix:SR
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 1:7803 TARRYTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1714
Mailing Address - Country:US
Mailing Address - Phone:806-359-0359
Mailing Address - Fax:
Practice Address - Street 1:5211 W 9TH AVE
Practice Address - Street 2:STE. 203
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4120
Practice Address - Country:US
Practice Address - Phone:806-353-1256
Practice Address - Fax:806-353-2626
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXDC2180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT11899Medicare UPIN