Provider Demographics
NPI:1891096459
Name:BEE CAVE FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BEE CAVE FAMILY CHIROPRACTIC, LLC
Other - Org Name:BEE CAVE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-263-7500
Mailing Address - Street 1:12117 BEE CAVES RD.
Mailing Address - Street 2:BUILDING ONE, SUITE 202
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5390
Mailing Address - Country:US
Mailing Address - Phone:512-263-7500
Mailing Address - Fax:512-852-4700
Practice Address - Street 1:12117 BEE CAVES RD.
Practice Address - Street 2:BUILDING ONE, SUITE 202
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5390
Practice Address - Country:US
Practice Address - Phone:512-263-7500
Practice Address - Fax:512-852-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB114646Medicare PIN