Provider Demographics
NPI:1740559954
Name:TEXSTAR CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:TEXSTAR CHIROPRACTIC, PLLC
Other - Org Name:TEXSTAR CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-899-2228
Mailing Address - Street 1:4601 SOUTHWEST PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8938
Mailing Address - Country:US
Mailing Address - Phone:512-899-2228
Mailing Address - Fax:512-899-2226
Practice Address - Street 1:4601 SOUTHWEST PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8938
Practice Address - Country:US
Practice Address - Phone:512-899-2228
Practice Address - Fax:512-899-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty