Provider Demographics
NPI:1558348409
Name:KREBS, ERIC A (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:KREBS
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 1:3532 BEE CAVES RD STE 115
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5466
Mailing Address - Country:US
Mailing Address - Phone:512-328-5439
Mailing Address - Fax:512-687-5360
Practice Address - Street 1:3532 BEE CAVES RD
Practice Address - Street 2:SUITE 102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5467
Practice Address - Country:US
Practice Address - Phone:512-328-5439
Practice Address - Fax:512-687-0099
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2154534OtherFIRST HEALTH
TX9674859OtherCIGNA
TX9349688OtherPHCS
TX608206OtherBC/BS
TX9674859OtherCIGNA
U99586Medicare UPIN