Provider Demographics
NPI:1699900365
Name:WHOLE FAMILY CHIROPRACTORS, LLC
Entity type:Organization
Organization Name:WHOLE FAMILY CHIROPRACTORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-505-8500
Mailing Address - Street 1:4818 BERKMAN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-4697
Mailing Address - Country:US
Mailing Address - Phone:512-505-8500
Mailing Address - Fax:512-592-7153
Practice Address - Street 1:4818 BERKMAN DR STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-4697
Practice Address - Country:US
Practice Address - Phone:512-505-8500
Practice Address - Fax:512-592-7153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-23
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11014OtherSTATE LICENSE
TX13336OtherSTATE LICENSE
1013248350OtherNPI
TX1922718998OtherNPI
TX1699900365OtherNPI