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Fire Of Life Chiropractic Pllc
Chiropractor in Lakeway, Texas
NPI 1235311721

Fire Of Life Chiropractic Pllc is a Chiropractor based in Lakeway, TX. Fire Of Life Chiropractic Pllc practices in Lakeway, TX. The NPI Number for Fire Of Life Chiropractic Pllc is 1235311721 and holds a License No. 9962 (Texas).

The current practice location address for Fire Of Life Chiropractic Pllc is 1200 Lakeway Dr, Lakeway, TX and can be reached out via phone at 512-608-9121 and via fax at 512-608-9121.

Location: 1200 Lakeway Dr, Lakeway, TX, 78734-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235311721
Provider Name
Fire Of Life Chiropractic Pllc
Credential
Provider Entity Type
Organization
Address
1200 Lakeway Dr, Lakeway, TX, 78734-4400
Phone Number
512-608-9121
Fax Number
512-608-9121
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00641Y 01 TX MEDICARE LEGACY #
1235311721 01 GROUP NPI
1003096975 01 TX INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1200 Lakeway Dr
City
Lakeway
State
Texas
Zip
78734-4400
Phone Number
512-608-9121
Fax Number
512-608-9121
person
Provider Business Mailing Address Details
Address
1200 Lakeway Dr
City
Lakeway
State
Texas
Zip
78734-4400
Phone Number
512-608-9121
Fax Number
512-608-9121
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9962 (Texas)
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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