Provider Demographics
NPI:1346350253
Name:DUGGAN, CHRISTINE (DC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 TAHOE PARKE CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4051
Mailing Address - Country:US
Mailing Address - Phone:512-331-9632
Mailing Address - Fax:
Practice Address - Street 1:13945 N HIGHWAY 183 STE C3
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-5911
Practice Address - Country:US
Practice Address - Phone:512-336-7300
Practice Address - Fax:512-336-7312
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0030LMOtherBCBS GROUP ID
TX8M7971OtherBCBS ID