Provider Demographics
NPI:1215317953
Name:GARMAN, CASEY
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:GARMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N BELL BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2209
Mailing Address - Country:US
Mailing Address - Phone:512-263-9961
Mailing Address - Fax:512-263-9963
Practice Address - Street 1:711 N BELL BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2418
Practice Address - Country:US
Practice Address - Phone:512-257-9500
Practice Address - Fax:512-257-9514
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor