Doctor Name: | EROMATA EBWE |
NPI Number: | 1154604460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C, |
License Number: | 11878 |
Business Practice Address: | 8716 N Mopac Expy Ste.340 Austin, TX - 787598327 |
Business Phone Number: | 5634688279 |
Business Fax Number: | |
Mailing Address: | 8600 Fm 620 N, Ste.2632 AUSTIN |
State: | TX |
Postal Code: | 787263502 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 11878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |