Provider Demographics
NPI:1508125980
Name:HS 360, LLC
Entity Type:Organization
Organization Name:HS 360, LLC
Other - Org Name:HEALTHSOURCE OF AUSTIN WESTLAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARNTER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-334-9648
Mailing Address - Street 1:3600 N CAPITAL OF TEXAS HWY
Mailing Address - Street 2:BUILDING A - SUITE 160
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3314
Mailing Address - Country:US
Mailing Address - Phone:512-334-9648
Mailing Address - Fax:512-373-3083
Practice Address - Street 1:3600 N CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING A - SUITE 160
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-3314
Practice Address - Country:US
Practice Address - Phone:512-334-9648
Practice Address - Fax:512-373-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty