Provider Demographics
NPI:1841207040
Name:BOCKMANN, DANIEL P (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:BOCKMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:7756 NORTHCROSS DR
Mailing Address - Street 2:SUITE #203
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1735
Mailing Address - Country:US
Mailing Address - Phone:512-386-1876
Mailing Address - Fax:512-394-6572
Practice Address - Street 1:7756 NORTHCROSS DR
Practice Address - Street 2:SUITE #203
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1735
Practice Address - Country:US
Practice Address - Phone:512-386-1876
Practice Address - Fax:512-394-6572
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX8794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608145OtherBC/BS
TX614150Medicare UPIN