Provider Demographics
NPI:1568498269
Name:BOOKS, PHYLLIS (DC)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:
Last Name:BOOKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12412 MOSSY BARK TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1149
Mailing Address - Country:US
Mailing Address - Phone:512-331-0668
Mailing Address - Fax:
Practice Address - Street 1:13740 N HIGHWAY 183 STE M1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1834
Practice Address - Country:US
Practice Address - Phone:512-331-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609703Medicare PIN
T12279Medicare UPIN