| Healthsource Of Cedar Park, Llc | |
|
201 S Lakeline Blvd, Suite 204, Cedar Park, TX 78613-2718 | |
| (512) 672-8408 | |
| Not Available |
| Full Name | Healthsource Of Cedar Park, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 201 S Lakeline Blvd, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366796401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11209 (Texas) | Primary |
| Provider Name | Alexander Charles Klein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932431715 PECOS PAC ID: 1850420811 Enrollment ID: I20100601000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Cedar Park, Llc 201 S Lakeline Blvd, Suite 204, Cedar Park, TX 78613-2718 Ph: (512) 672-8408 | Healthsource Of Cedar Park, Llc 201 S Lakeline Blvd, Suite 204, Cedar Park, TX 78613-2718 Ph: (512) 672-8408 |
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