Dr. Kurt William Edeker
Chiropractor
1200 Lakeway Dr Suite 17b
Lakeway
, Texas 78734-4400
Dr. Kurt William Edeker
Chiropractor
1200 Lakeway Dr Suite 17b
Lakeway
, Texas 78734-4400
(512) 608-9121
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Kurt William Edeker
- 1200 Lakeway Dr Suite 17b
- Lakeway, TX
- Zip : 78734-4400
- Phone : (512) 608-9121
Second Address
- Dr. Kurt William Edeker
- 1200 Lakeway Dr Suite 17b
- Lakeway, TX
- Zip : 78734-4400
- Phone : (512) 608-9121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9962 | TX |
National Provider Identifier
| NPI | 1003096975 |
|---|---|
| Provider Name | Dr. Kurt William Edeker |
| First Address | Lakeway, TX 78734-4400 |
| Second Address | Lakeway, TX 78734-4400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2007 |
| Last Update Date | 31/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00641Y | MEDICARE LEGACY # (01) | TX |
| 1003096975 | INDIVIDUAL NPI (01) | |
| 1235311721 | GROUP NPI (01) | TX |
| V04647 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.