Provider Demographics
NPI:1336341841
Name:P & C CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:P & C CHIROPRACTIC P.C.
Other - Org Name:LONE STAR CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTENAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDT-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-377-2663
Mailing Address - Street 1:2438 W ANDERSON LN
Mailing Address - Street 2:SUITE A2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2438 W ANDERSON LN
Practice Address - Street 2:SUITE A2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1165
Practice Address - Country:US
Practice Address - Phone:512-377-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8833111N00000X
TX9251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU86192Medicare UPIN
TX00120SMedicare ID - Type Unspecified