P Praxis·MD
● Active Type 2 · Organization

Fire Of Life Chiropractic Pllc

Chiropractor·Lakeway, TX· NPI 1235311721 · Enumerated 2007 · 18 years on NPI
Fire Of Life Chiropractic Pllc is 1 of 10819 chiropractor organizations in Texas.
NPI age
18 years
Enumerated 2007-11-27
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Edeker
Office Manager
Last NPPES update
2008-07-31
Source: monthly bulk 2026-05

How this organization compares

Across 10819 active chiropractor providers in Texas.

NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1200 Lakeway Dr, 17b
Lakeway, TX 787344400
📞 5126089121fax 5126089121
Mailing address
1200 Lakeway Dr, 17b
Lakeway, TX 787344400
📞 5126089121fax 5126089121

Authorized official

Kurt Vanessa Edeker
Office Manager
📞 5126089121

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Chiropractor Primary
    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...
    TX license #9962 taxonomy 111N00000X

Identifiers

TypeValueNotes
01 (TX) 00641Y MEDICARE LEGACY #
01 1235311721 GROUP NPI
01 (TX) 1003096975 INDIVIDUAL NPI

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Fire of Life Chiropractic
    Type code 3 recorded 2007-11-27

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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