University Spine & Sports Medicine INC
Chiropractor, Rehabilitation in Austin, TX. Organization (NPI-2).
NPI number1760620686
StatusActive
Last updated in NPPESDec 1, 2009
Details
- NPI
- 1760620686
- Entity type
- Organization (NPI-2)
- Legal business name
- University Spine & Sports Medicine INC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2009
- Last updated
- Dec 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 9663 | TX | Yes |
| 111NI0900X | Chiropractor, Internist | 9759 | TX | |
| 111NS0005X | Chiropractor, Sports Physician | 10381 | TX |
Other names
- Elena Villanueva Olcott (Other Name)
Practice location
2911 Medical Arts St.#13
Austin, TX 78705-3302
Phone 512-600-4848 · Fax 512-628-0182
Mailing address
2911 Medical Arts St.#13
Austin, TX 78705-3302
Phone 512-600-4848 · Fax 512-628-0182
Authorized official
Elena Villanueva Olcott
President
5126004848
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