620 Chiropractic & Longevity Center, Pllc

NPI #1750809513 in Lakeway, Texas

Provider Information

NPI Number: 1750809513
Entity Type: Organization
Organization Name: 620 Chiropractic & Longevity Center, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 31, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1603 RANCH ROAD 620 N STE 200
City: Lakeway
State: Texas
ZIP Code: 78734-2324
Phone: (512) 266-8100

Authorized Official

Name: DR. MICAH WYNN PITTMAN, DC
Title: OWNER
Phone: (425) 457-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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