Provider Demographics
NPI:1750979415
Name:AUGUSTYNIAK, JULIA ELLEN (DC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ELLEN
Last Name:AUGUSTYNIAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 PAINTED LAKE CIR UNIT 305
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4367
Mailing Address - Country:US
Mailing Address - Phone:734-308-2729
Mailing Address - Fax:
Practice Address - Street 1:6851 VIRGINIA PKWY STE 212
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5856
Practice Address - Country:US
Practice Address - Phone:734-308-2729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15003111N00000X
MI2301011040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor