Provider Demographics
NPI:1467573139
Name:BURNIKEL, DEVIN (DC)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:BURNIKEL
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 1:1108 IRON HORSE
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2380
Mailing Address - Country:US
Mailing Address - Phone:512-623-0625
Mailing Address - Fax:
Practice Address - Street 1:1001 BUCHANAN DR
Practice Address - Street 2:SUITE # 10
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-2323
Practice Address - Country:US
Practice Address - Phone:512-756-6279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor