Individual provider · Type 1 NPI
Mike D. Maddox, DC, CCST
Chiropractor · Austin, TX
NPI number
1356423560
Active
Practice location
500 Canyon Ridge Drive, Suite 200 F
Austin, TX 78753-1659
Fax (512) 339-9248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4162DC (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1356423560
Mike D. Maddox, DC, CCST's National Provider Identifier is 1356423560, issued on Oct 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Austin, TX. The record was last updated on Jul 1, 2014.