Provider Demographics
NPI:1821593310
Name:DRANE CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:DRANE CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:DRANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-636-9095
Mailing Address - Street 1:100 COMMONS RD STE 6
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3966
Mailing Address - Country:US
Mailing Address - Phone:512-636-9095
Mailing Address - Fax:
Practice Address - Street 1:100 COMMONS RD STE 6
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3966
Practice Address - Country:US
Practice Address - Phone:512-636-9095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty