Seth Andrew Wagenblast in Round Rock - Sports Physician

Seth Andrew Wagenblast - NPI 1821199126

Seth Andrew Wagenblast is a Sports Physician in Round Rock, Texas. Seth Andrew Wagenblast practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Seth Andrew Wagenblast is 1821199126. The last update date is 2013-07-03.

Seth Andrew Wagenblast's current location address is 3924 Walsh Ranch Blvd, Round Rock, Texas. You can contact this provider via phone number 5122849278 and fax number 5122849283. The mailing address for Seth Andrew Wagenblast is 3924 Walsh Ranch Blvd, Round Rock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Seth Andrew Wagenblast
Address 3924 Walsh Ranch Blvd, Round Rock, Texas
Phone Number 5122849278
Fax Number 5122849283
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1821199126
Provider Enumeration Date 2006-09-26
Last Updated Date 2013-07-03

Provider Mailing Address Detail

Address 3924 Walsh Ranch Blvd
City Round Rock
State Texas (TX)
Post Code 786812441
Phone Number 5122849278
Fax Number 5122849283

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 9995
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Seth Andrew Wagenblast

What is the unique 10-digit identifier code issued to Seth Andrew Wagenblast by the Centers for Medicare & Medicaid Services?

The Seth Andrew Wagenblast has been assigned the NPI (National Provider Identifier) 1821199126 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Seth Andrew Wagenblast?

The Seth Andrew Wagenblast is physically situated at 3924 Walsh Ranch Blvd, in the city of Round Rock, state of TX, with the postal code 786812441.

What is the area of specialization for Seth Andrew Wagenblast, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Seth Andrew Wagenblast is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821199126 to Seth Andrew Wagenblast?

The Centers for Medicare & Medicaid Services assigned the 1821199126 to Seth Andrew Wagenblast on 2006-09-26.

When was the information related to Seth Andrew Wagenblast most recently updated or refreshed?

The details pertaining to the Seth Andrew Wagenblast, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-03.

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