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INNATE GENESIS LLC NPI 1063902120


NPI Information

NPI: 1063902120
Provider Name: INNATE GENESIS LLC

Doing Business As: AUSTIN LIFE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
115 SUNDANCE PKWY STE 340
ROUND ROCK, TX
ZIP 78681
Phone: (512) 387-8733
Get Directions

INNATE GENESIS LLC is a chiropractor in Round Rock, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. INNATE GENESIS LLC NPI is 1063902120. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Austin Life Chiropractic.

The provider's business location address is:

115 SUNDANCE PKWY STE 340
ROUND ROCK, TX
ZIP 78681-840
Phone: (512) 387-8733
Fax: (512) 387-8733

The provider's authorized official is Vince Methot .
The authorized official title is Owner and has the following contact phone number (512) 387-8733.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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