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Dr. Miranda Wall, DC
Chiropractor in Georgetown, Texas
NPI 1134519127

Miranda Wall is a Chiropractor based in San Antonio, TX. Miranda Wall practices in Georgetown, TX and has the professional credentials of DC. The NPI Number for Miranda Wall is 1134519127 and holds a License No. 0104-557227 (Texas).

The current practice location address for Miranda Wall is 100 River Hills Dr Ste 102, Georgetown, TX and can be reached out via phone at 800-404-6050.

Location: 100 River Hills Dr Ste 102, Georgetown, TX, 78270-0688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134519127
Provider Name
Miranda Wall
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
100 River Hills Dr Ste 102, Georgetown, TX, 78270-0688
Phone Number
800-404-6050
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13538 01 TX TEXAS BOARD OF CHIROPRACTIC EXAMINERS
institution
Provider Business Practice Location Address Details
Address
100 River Hills Dr Ste 102
City
Georgetown
State
Texas
Zip
78628-3682
Phone Number
800-404-6050
Fax Number
person
Provider Business Mailing Address Details
Address
100 River Hills Dr Ste 102
City
Georgetown
State
Texas
Zip
78628-3682
Phone Number
800-404-6050
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104-557227 (Virginia)
Definition
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.
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