Provider Demographics
NPI:1245782101
Name:AUSTIN, SETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:
Last Name:AUSTIN
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 1:2411 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3508
Mailing Address - Country:US
Mailing Address - Phone:214-856-3077
Mailing Address - Fax:
Practice Address - Street 1:2411 VIRGINIA PKWY
Practice Address - Street 2:SUITE 6
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3508
Practice Address - Country:US
Practice Address - Phone:214-856-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor