Provider Demographics
NPI:1841428414
Name:AUSTIN CHIROPRACTIC CONCEPTS PLLC
Entity Type:Organization
Organization Name:AUSTIN CHIROPRACTIC CONCEPTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-302-4773
Mailing Address - Street 1:1929 PAYTON GIN RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757
Mailing Address - Country:US
Mailing Address - Phone:512-302-4773
Mailing Address - Fax:512-302-1678
Practice Address - Street 1:1929 PAYTON GIN RD
Practice Address - Street 2:SUITE E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757
Practice Address - Country:US
Practice Address - Phone:512-302-4773
Practice Address - Fax:512-302-1678
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUSTIN CHIROPRACTIC CONCEPTS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
605361Medicare UPIN