Koala Sports Medicine Centers Lp

LBN: Koala Sports Medicine Centers Lp
Koala Sports Medicine Centers Lp is an health care organization with primary practice located at 1007 S Congress Ave B11, Austin TX 78704-8707. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Koala Sports Medicine Centers Lp can be contacted via phone (512) 326-5333, or through Kieke, Ed via phone (713) 652-9777.

Contact Information

Primary practice address
1007 S Congress Ave B11 Austin TX 78704-8707
Phone: (512) 326-5333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kieke, Ed Doctor of Chiropractic (DC)
Phone: (713) 652-9777

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1326177858
LBN Legal business name Koala Sports Medicine Centers Lp
DBA Doing business as
Authorized official Kieke, Ed Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326177858 NPPES
Texas Other 0022KU BCBS GROUP ID #

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