Provider Demographics
NPI:1912312927
Name:KING CHIROPRACTIC AND WELLNESS PLLC
Entity Type:Organization
Organization Name:KING CHIROPRACTIC AND WELLNESS PLLC
Other - Org Name:AUSTIN ALIGN CHIROPRACTIC AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-243-6413
Mailing Address - Street 1:7756 NORTHCROSS DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1735
Mailing Address - Country:US
Mailing Address - Phone:512-910-7005
Mailing Address - Fax:
Practice Address - Street 1:8705 SHOAL CREEK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6839
Practice Address - Country:US
Practice Address - Phone:512-243-6413
Practice Address - Fax:512-717-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty