Provider Demographics
NPI:1689808982
Name:CAIN, BRYAN WESLEY (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:WESLEY
Last Name:CAIN
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4210 SPICEWOOD SPRINGS RD
Mailing Address - Street 2:STE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8654
Mailing Address - Country:US
Mailing Address - Phone:512-346-5567
Mailing Address - Fax:512-231-1087
Practice Address - Street 1:4210 SPICEWOOD SPRINGS RD STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8654
Practice Address - Country:US
Practice Address - Phone:512-346-5567
Practice Address - Fax:512-231-1087
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14346111N00000X
NE1548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor