Provider Demographics
NPI:1386848067
Name:JOSHUA AUZENNE, P.C.
Entity Type:Organization
Organization Name:JOSHUA AUZENNE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:BARRETT
Authorized Official - Last Name:AUZENNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-367-5000
Mailing Address - Street 1:7460 GOLDEN POND PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1955
Mailing Address - Country:US
Mailing Address - Phone:806-367-5000
Mailing Address - Fax:806-367-5001
Practice Address - Street 1:7460 GOLDEN POND PL
Practice Address - Street 2:SUITE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1955
Practice Address - Country:US
Practice Address - Phone:806-367-5000
Practice Address - Fax:806-367-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty