Larry W. Mann, D.C.
Individual provider Active NPI Chiropractor · Spicewood, TX
NPI 1295989499 · NPPES record last updated Nov 13, 2009
Key facts
- NPI
- 1295989499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2991 (TX)
- Practice address
- 5328 Reimers Rd
Spicewood, TX 78669-6139 - Phone
- (512) 789-6266
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2991 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2991 | TX | Yes |
Addresses
Primary practice location
5328 Reimers Rd
Spicewood, TX 78669-6139
Mailing address
5328 Reimers Rd
Spicewood, TX 78669-6139
Phone (512) 789-6266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-92497 | Other | TX | TEXAS PROVIDER NUMBER |
Other providers in Spicewood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.