William Richard Mccormick
Chiropractic Sports Physician
2612-A S. Lamar Blvd
Austin
, Texas 78704
William Richard Mccormick
Chiropractic Sports Physician
2612-A S. Lamar Blvd
Austin
, Texas 78704
(512) 804-1102
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- William Richard Mccormick
- 2612-A S. Lamar Blvd
- Austin, TX
- Zip : 78704
- Fax : (512) 804-1102
- Phone : (512) 804-1100
Second Address
- William Richard Mccormick
- 2612-A S. Lamar Blvd
- Austin, TX
- Zip : 78704
- Fax : (512) 804-1102
- Phone : (512) 804-1100
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Is William Richard Mccormick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 111NS0005X | Chiropractic Sports Physician | 2219 | NC |
| Y | 111NS0005X | Chiropractic Sports Physician | 6458 | TX |
National Provider Identifier
| NPI | 1205920774 |
|---|---|
| Provider Name | William Richard Mccormick |
| First Address | Austin, TX 78704 |
| Second Address | Austin, TX 78704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U55130 | (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.