Provider Demographics
NPI:1205437266
Name:CAULEY, WHITNEY DIANE (LAC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DIANE
Last Name:CAULEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3507
Mailing Address - Country:US
Mailing Address - Phone:806-441-1425
Mailing Address - Fax:
Practice Address - Street 1:3006 BEE CAVES RD STE A213
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5651
Practice Address - Country:US
Practice Address - Phone:512-614-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01888171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist