Provider Demographics
NPI:1679815187
Name:NORTH AUSTIN CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:NORTH AUSTIN CHIROPRACTIC CLINIC
Other - Org Name:ESPARZA CHIROPRACTIC CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-238-9355
Mailing Address - Street 1:13915 BURNET RD
Mailing Address - Street 2:STE 204
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6517
Mailing Address - Country:US
Mailing Address - Phone:512-238-9355
Mailing Address - Fax:512-238-9356
Practice Address - Street 1:13915 BURNET RD
Practice Address - Street 2:STE 204
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6517
Practice Address - Country:US
Practice Address - Phone:512-238-9355
Practice Address - Fax:512-238-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty