Provider Demographics
NPI:1841222627
Name:ADAM J ZELINSKI DC
Entity Type:Organization
Organization Name:ADAM J ZELINSKI DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-467-1100
Mailing Address - Street 1:PO BOX 203968
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-3968
Mailing Address - Country:US
Mailing Address - Phone:512-467-1100
Mailing Address - Fax:512-467-1101
Practice Address - Street 1:911 W ANDERSON LN
Practice Address - Street 2:#103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1501
Practice Address - Country:US
Practice Address - Phone:512-467-1100
Practice Address - Fax:512-467-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2011-11-29
Deactivation Date:2007-05-21
Deactivation Code:
Reactivation Date:2008-07-29
Provider Licenses
StateLicense IDTaxonomies
TX9340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W329Medicare PIN