Provider Demographics
NPI:1689370058
Name:TROWBRIDGE, TARA JANE MARIE (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:JANE MARIE
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 MENCHACA RD STE 303
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2761
Mailing Address - Country:US
Mailing Address - Phone:956-543-5829
Mailing Address - Fax:
Practice Address - Street 1:11200 MENCHACA RD STE 303
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2761
Practice Address - Country:US
Practice Address - Phone:956-543-5829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15473111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor