Provider Demographics
NPI:1720414253
Name:PALMER, JOSEPH AUSTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:AUSTIN
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4509
Mailing Address - Country:US
Mailing Address - Phone:830-992-3221
Mailing Address - Fax:830-992-3212
Practice Address - Street 1:905 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4509
Practice Address - Country:US
Practice Address - Phone:830-992-3221
Practice Address - Fax:830-992-3212
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10956111N00000X
TX13984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor