Provider Demographics
NPI:1912464082
Name:DOBSON, ALEXIS MAIRE (DC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MAIRE
Last Name:DOBSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:MARIE
Other - Last Name:CONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13201 ONION CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-6809
Mailing Address - Country:US
Mailing Address - Phone:512-799-5535
Mailing Address - Fax:512-445-7454
Practice Address - Street 1:4419 FRONTIER TRL STE 106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1567
Practice Address - Country:US
Practice Address - Phone:512-799-5535
Practice Address - Fax:512-445-7454
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor