Provider Demographics
NPI:1043198690
Name:MAGNUSDOTTIR, DAGBJOERT LILJA (DC)
Entity type:Individual
Prefix:
First Name:DAGBJOERT
Middle Name:LILJA
Last Name:MAGNUSDOTTIR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 ABANA WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-3201
Mailing Address - Country:US
Mailing Address - Phone:512-944-3050
Mailing Address - Fax:877-828-0076
Practice Address - Street 1:4630 W GATE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1411
Practice Address - Country:US
Practice Address - Phone:512-944-3050
Practice Address - Fax:877-828-0076
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16616111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician