DR. MIRANDA WALL


Address: 100 River Hills Dr Ste 102, Georgetown, TX 78628-3682
Phone: 8004046050

DR. MIRANDA WALL (NPI# 1134519127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134519127
Entity Type Individual
Full Name DR. MIRANDA WALL
Credential DC
Practice Address 100 River Hills Dr Ste 102
Georgetown
TX 78628-3682
Mailing Address Po Box 700688
San Antonio
TX 78270-0688
Practice Telephone 8004046050
Mailing Telephone 2104777654
Mailing Fax Number 2104680682
Enumeration Date 2015-01-28
Last Update Date 2019-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 13538 TX Chiropractic Providers
N 111N00000X Chiropractor 0104-557227 VA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS BOARD OF CHIROPRACTIC EXAMINERS 13538 01

Office Location

Street Address 100 RIVER HILLS DR STE 102
City GEORGETOWN
State TX
Zip Code 78628-3682

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164079760 Maegan Marissa Milliet Student in an Organized Health Care Education/Training Program 302 Rideg Run Dr, Georgetown, TX 78628 2019-08-20
1366918419 Harold F. Adelman, M.d, Pllc Clinic/Center 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 2018-10-16
1679085401 Georgetown Emergency Physicians Pllc Clinic/Center 1210 W University Blvd, Georgetown, TX 78628 2017-11-02
1134631450 Meredith Rollins Hatcher Physician Assistant 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 2017-10-26
1588188304 Wolf Ranch Dental Group, PC Dentist 1135 West University Avenue, Georgetown, TX 78628 2017-08-02
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1093114100 Della Davis Hearing Instrument Specialist 1013 W. University Ave, Suite 122, Georgetown, TX 78628 2014-08-14
1083988125 Deann Reinshuttle Audiologist-Hearing Aid Fitter 3316 Williams Dr Ste 115, Georgetown, TX 78628 2012-03-07
1700195823 Zeyad B Mughrabi Dentist 1615 Williams Dr, Georgetown, TX 78628 2010-10-07
1497071534 Jeri Lynne Manhal Counselor 1618 Williams Dr., Suite 4, Georgetown, TX 78628 2010-04-14
Find all providers in zip 78628

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124627286 Kirsten Rene Parker Chiropractor 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 2020-10-20
1053973644 Georgetown Chiropractic Center Chiropractor 1304 Paris Pike, Georgetown, KY 40324-9704 2019-07-03
1376001651 Shelby Danielle Phillips Chiropractor 1520 Leander Rd Ste 103, Georgetown, TX 78628-8842 2019-03-06
1366918252 Sammie Mees Chiropractor 1103 Williams Dr Ste 101, Georgetown, TX 78628-4109 2018-10-17
1043706344 Acc-georgetown LLC Chiropractor 3007 Dawn Dr Ste 101, Georgetown, TX 78628-2864 2018-07-10
1124526223 Legacy Chiropractic Inc Chiropractor 205 Champion Way Ste 9, Georgetown, KY 40324-8862 2018-01-24
1255845830 Chelsea Hartinger Chiropractor 105 Windsor Path Ste 4, Georgetown, KY 40324-9819 2017-11-19
1457877342 Credence Chiropractic LLC Chiropractor 1103 Rivery Dr Ste 120, Georgetown, TX 78628-3056 2017-08-22
1043617202 Waccamaw Family Chiropractic, P.C. Chiropractor 1153 N Fraser St, Georgetown, SC 29440-2851 2014-12-03
1851798292 Clark Mandel Chiropractor 108 Osbourne Way Ste 6, Georgetown, KY 40324-9693 2014-12-01
Find all providers in GEORGETOWN

Competitor

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City GEORGETOWN
Zip Code 78628

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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