Provider Demographics
NPI:1487655890
Name:KAPSNER, MICHAEL A (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:KAPSNER
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 1:1701 W. BEN WHITE BLVD. SUITE 160
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7679
Mailing Address - Country:US
Mailing Address - Phone:512-441-1240
Mailing Address - Fax:512-441-3762
Practice Address - Street 1:1701 W. BEN WHITE BLVD. SUITE 160
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8864
Practice Address - Country:US
Practice Address - Phone:512-441-1240
Practice Address - Fax:512-441-3762
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX617025AL5XOtherMEDICARE
TX088383701Medicaid
TX088383701Medicaid