Provider Demographics
NPI: | 1790070431 |
---|---|
Name: | SYMMETRY HEALTH CHIROPRACTIC CENTER, PLLC |
Entity Type: | Organization |
Organization Name: | SYMMETRY HEALTH CHIROPRACTIC CENTER, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DANIELLE |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | STRAMA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 512-331-7422 |
Mailing Address - Street 1: | 200 E NEW HOPE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | CEDAR PARK |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78613-6301 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 512-456-7434 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 200 E NEW HOPE DR |
Practice Address - Street 2: | |
Practice Address - City: | CEDAR PARK |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78613-6301 |
Practice Address - Country: | US |
Practice Address - Phone: | 512-456-7434 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-06-10 |
Last Update Date: | 2023-07-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 11766 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |