Provider Demographics
NPI:1639066111
Name:ACOR, AUSTIN WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:WILLIAM
Last Name:ACOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:AUSTIN
Other - Middle Name:
Other - Last Name:ACOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1081 S CIMARRON RD STE B3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-2454
Mailing Address - Country:US
Mailing Address - Phone:702-903-5177
Mailing Address - Fax:
Practice Address - Street 1:1081 S CIMARRON RD STE B3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-2454
Practice Address - Country:US
Practice Address - Phone:702-903-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor