DR. KEAGAN TICE SMALLWOOD (NPI# 1639785173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639785173 |
| Entity Type | Individual |
| Full Name | DR. KEAGAN TICE SMALLWOOD |
| Credential | DC |
| Practice Address |
1603 Medical Pkwy Ste 310 Cedar Park TX 78613-7904 |
| Practice Telephone | 5129182225 |
| Mailing Telephone | 5129182225 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14500 | TX | Chiropractic Providers |
| Street Address |
1603 MEDICAL PKWY STE 310 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-7904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165805 | Garrett Anthony Garcia | Chiropractor | 1103 Cypress Creek Rd Ste 102, Cedar Park, TX 78613-3925 | 2020-02-11 |
| 1073145827 | Kevin Moc | Chiropractor | 201 S Lakeline Blvd Ste 101, Cedar Park, TX 78613-2719 | 2020-02-10 |
| 1669038725 | Garman Wellness Group LLC | Chiropractor | 711 N Bell Blvd Ste B, Cedar Park, TX 78613-2418 | 2019-05-14 |
| 1194282392 | Cody Weaver | Chiropractor | 1335 E Whitestone Blvd # 0-300, Cedar Park, TX 78613-7598 | 2019-02-23 |
| 1235618448 | 100 Percent Chiropractic Miles, Pllc | Chiropractor | 1335 E Whitestone Blvd Bldg O300, Cedar Park, TX 78613-7883 | 2018-08-08 |
| 1134623226 | Verity Chiropractic, LLC | Chiropractor | 1907 Cypress Creek Rd Ste 107, Cedar Park, TX 78613-4151 | 2018-03-22 |
| 1629578521 | Kadee Lynn Miles | Chiropractor | 600 S Bell Blvd Ste 16, Cedar Park, TX 78613-3836 | 2018-02-16 |
| 1508217910 | James Austin Hogan | Chiropractor | 930 S Bell Blvd Ste 103, Cedar Park, TX 78613-3973 | 2016-06-27 |
| 1689039240 | Kristi Mccaleb | Chiropractor | 1401 Medical Pkwy Ste 100, Cedar Park, TX 78613-7642 | 2015-12-28 |
| 1215317953 | Casey Garman | Chiropractor | 711 N Bell Blvd, Cedar Park, TX 78613-2418 | 2015-06-08 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on DR. KEAGAN TICE SMALLWOOD.
| 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.