Provider Demographics
NPI:1689006868
Name:CALAEL, PC
Entity Type:Organization
Organization Name:CALAEL, PC
Other - Org Name:LAKE TRAVIS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-263-5626
Mailing Address - Street 1:317 RR 620 SOUTH
Mailing Address - Street 2:STE 102
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-4727
Mailing Address - Country:US
Mailing Address - Phone:512-263-5626
Mailing Address - Fax:512-590-8734
Practice Address - Street 1:317 RR 620 SOUTH
Practice Address - Street 2:STE 102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-4727
Practice Address - Country:US
Practice Address - Phone:512-263-5626
Practice Address - Fax:512-590-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty