Provider Demographics
NPI:1871788182
Name:CONE, JOEL DOUGLAS (DC)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:DOUGLAS
Last Name:CONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13201 ONION CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-6809
Mailing Address - Country:US
Mailing Address - Phone:512-577-7234
Mailing Address - Fax:512-291-8823
Practice Address - Street 1:4419 FRONTIER TRAILS BLVD
Practice Address - Street 2:STE 106
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-577-7234
Practice Address - Fax:512-291-8823
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX607150Medicare PIN