Doctor Name: | DR. ERIN SUZANNE CLEARY |
NPI Number: | 1306230149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C., M.A.O.M., B.S. |
License Number: | 12893 |
Business Practice Address: | 900 Ranch Road 620 S Suite C-209 Lakeway, TX - 787345615 |
Business Phone Number: | 5129992449 |
Business Fax Number: | |
Mailing Address: | 900 Ranch Road 620 S, Suite C-209 LAKEWAY |
State: | TX |
Postal Code: | 787345615 |
Phone Number: | 5129992449 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 07/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 12893 |
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. |