Provider Demographics
NPI:1306260955
Name:WENDELL, AUSTIN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:MICHAEL
Last Name:WENDELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7941
Mailing Address - Country:US
Mailing Address - Phone:830-302-7363
Mailing Address - Fax:
Practice Address - Street 1:264 W MILL ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7941
Practice Address - Country:US
Practice Address - Phone:830-302-7363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor