Provider Demographics
NPI:1275642068
Name:ACCIDENT & FAMILY CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:ACCIDENT & FAMILY CHIROPRACTIC CENTER
Other - Org Name:HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FINANCIAL EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-280-8225
Mailing Address - Street 1:9300 S I H 35 STE C-300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1733
Mailing Address - Country:US
Mailing Address - Phone:512-280-8225
Mailing Address - Fax:512-280-8570
Practice Address - Street 1:9300 S I H 35 STE C-300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1733
Practice Address - Country:US
Practice Address - Phone:512-280-8225
Practice Address - Fax:512-280-8570
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCIDENT & FAMILY CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service