Dr. Shane Lee Henrie, D.C.
Chiropractor in Austin, TX. Individual provider (NPI-1).
NPI number1174530588
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174530588
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Lee Henrie
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 9070 | TX | Yes |
Practice location
2407 S Congress AveSte D
Austin, TX 78704-5505
Phone 512-442-2777 · Fax 512-442-2963
Mailing address
2215 Post Rd#1026
Austin, TX 78704-8821
Phone 512-587-0560
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