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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS | 13538 | 01 |
| Street Address |
100 RIVER HILLS DR STE 102 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-3682 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on DR. MIRANDA WALL.
| 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.