NPI | 1073624110 |
---|---|
Doing Business As | LAKE TRAVIS SPINE CENTER |
Entity Type | Organization |
Authorized Contact | ANDREA MICHELLE LUISE-WILLIAMS President 512-294-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10245) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |