Provider Demographics
NPI:1376949321
Name:VERT-ALIGN PLLC
Entity Type:Organization
Organization Name:VERT-ALIGN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTLE
Authorized Official - Middle Name:HERNANDEZ
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-571-6230
Mailing Address - Street 1:1110 W WILLIAM CANNON DR STE 404
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5498
Mailing Address - Country:US
Mailing Address - Phone:512-571-6230
Mailing Address - Fax:
Practice Address - Street 1:1110 W WILLIAM CANNON DR STE 404
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5498
Practice Address - Country:US
Practice Address - Phone:512-571-6230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11733111N00000X
TX11725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty