Provider Demographics
NPI:1720521081
Name:DR. SETH AUSTIN, PLLC
Entity type:Organization
Organization Name:DR. SETH AUSTIN, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-856-3077
Mailing Address - Street 1:2411 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3508
Mailing Address - Country:US
Mailing Address - Phone:214-856-3077
Mailing Address - Fax:214-856-3077
Practice Address - Street 1:2411 VIRGINIA PKWY
Practice Address - Street 2:SUITE 6
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3508
Practice Address - Country:US
Practice Address - Phone:214-856-3077
Practice Address - Fax:214-856-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty