Provider Demographics
NPI:1447948971
Name:JULIA AUGUSTYNIAK DC PLLC
Entity type:Organization
Organization Name:JULIA AUGUSTYNIAK DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-308-2729
Mailing Address - Street 1:3653 BRIARGROVE LN APT 2126
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6134
Mailing Address - Country:US
Mailing Address - Phone:734-308-2729
Mailing Address - Fax:
Practice Address - Street 1:6851 VIRGINIA PKWY STE 212
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5856
Practice Address - Country:US
Practice Address - Phone:734-308-2729
Practice Address - Fax:469-375-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty