Provider Demographics
NPI:1518018803
Name:HASTINGS, DAVID RANEY (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RANEY
Last Name:HASTINGS
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 1:31007 INTERSTATE 10 W
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9264
Mailing Address - Country:US
Mailing Address - Phone:830-755-9109
Mailing Address - Fax:
Practice Address - Street 1:31007 INTERSTATE 10 W
Practice Address - Street 2:SUITE 106
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9264
Practice Address - Country:US
Practice Address - Phone:830-755-9109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor