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620 CHIROPRACTIC & LONGEVITY CENTER PLLC NPI 1750809513


NPI Information

NPI: 1750809513
Provider Name: 620 CHIROPRACTIC & LONGEVITY CENTER, PLLC

Doing Business As: 620 CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1603 RANCH ROAD 620 N STE 200
LAKEWAY, TX
ZIP 78734
Phone: (512) 266-8100
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620 CHIROPRACTIC & LONGEVITY CENTER, PLLC is a chiropractor in Lakeway, 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. 620 CHIROPRACTIC & LONGEVITY CENTER, PLLC NPI is 1750809513. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 620 Chiropractic.

The provider's business location address is:

1603 RANCH ROAD 620 N STE 200
LAKEWAY, TX
ZIP 78734-324
Phone: (512) 266-8100
Fax: (512) 266-8103

The provider's authorized official is Micah Wynn Pittman .
The authorized official title is Owner and has the following contact phone number (425) 457-1980.

The enumeration date for this NPI number is 8/31/2017 and was last updated on 7/21/2022.


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
1111N00000XChiropractor13544TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.