Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | 9552 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 9552 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 9552 | TX |
N | 111NX0100X | Occupational Health | 9552 | TX |
NPI | 1336356369 |
---|---|
Provider Name | Dr. Deborah Lee Ausmus |
First Address | Dickinson, TX 77539-6920 |
Second Address | Dickinson, TX 77539-6920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |