Provider Demographics
NPI:1497978787
Name:STARKEY, DAVID R (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:STARKEY
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 1:1502 W 6TH ST
Mailing Address - Street 2:A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5134
Mailing Address - Country:US
Mailing Address - Phone:512-472-1099
Mailing Address - Fax:512-472-1287
Practice Address - Street 1:1502 W 6TH ST
Practice Address - Street 2:A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5134
Practice Address - Country:US
Practice Address - Phone:512-472-1099
Practice Address - Fax:512-472-1287
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605268Medicare ID - Type UnspecifiedBC & BS MEDICARE #