Provider Demographics
NPI:1609421353
Name:100 PERCENT CHIROPRACTIC AUSTINB, PLLC
Entity Type:Organization
Organization Name:100 PERCENT CHIROPRACTIC AUSTINB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-244-5142
Mailing Address - Street 1:1335 E WHITESTONE BLVD BLDG O300
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7883
Mailing Address - Country:US
Mailing Address - Phone:512-986-7391
Mailing Address - Fax:
Practice Address - Street 1:1335 E WHITESTONE BLVD BLDG O300
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7883
Practice Address - Country:US
Practice Address - Phone:512-986-7391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty