Provider Demographics
NPI:1710684956
Name:ASCENDANCE CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:ASCENDANCE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-412-3913
Mailing Address - Street 1:2225 E RANDOL MILL RD STE 519
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-6308
Mailing Address - Country:US
Mailing Address - Phone:682-252-4168
Mailing Address - Fax:
Practice Address - Street 1:2225 E RANDOL MILL RD STE 519
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-6308
Practice Address - Country:US
Practice Address - Phone:682-252-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty