Airrosti Potomac L.l.c. | |
111 Tower Dr Bldg 1, San Antonio, TX 78232-3625 | |
(800) 404-6050 | |
Not Available |
Full Name | Airrosti Potomac L.l.c. |
---|---|
Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 111 Tower Dr Bldg 1, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861761991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Joshua Miles Mccreadie |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962776641 PECOS PAC ID: 6709032741 Enrollment ID: I20190410002938 |
Provider Name | William R Kempe |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831460732 PECOS PAC ID: 7618218132 Enrollment ID: I20190410002955 |
Provider Name | Christina R Goedken |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942584222 PECOS PAC ID: 9739356908 Enrollment ID: I20190417002867 |
Provider Name | Jonathan Murray |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568923480 PECOS PAC ID: 7214270594 Enrollment ID: I20190530001669 |
Provider Name | Josiah Ryabinov |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841560489 PECOS PAC ID: 2365784105 Enrollment ID: I20190812003241 |
Provider Name | Daniel Miller |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285925198 PECOS PAC ID: 6103166947 Enrollment ID: I20191220001875 |
Provider Name | Paige Hanger |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235434945 PECOS PAC ID: 8123355062 Enrollment ID: I20200406002742 |
Provider Name | Allyson Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255635900 PECOS PAC ID: 7517130313 Enrollment ID: I20200407003158 |
Provider Name | Michael A Grillo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1588258651 PECOS PAC ID: 5991114423 Enrollment ID: I20210526002198 |
Mailing Address | Practice Location Address |
---|---|
Airrosti Potomac L.l.c. 911 Central Pkwy N, Suite 300, San Antonio, TX 78232-5052 Ph: (800) 404-6050 | Airrosti Potomac L.l.c. 111 Tower Dr Bldg 1, San Antonio, TX 78232-3625 Ph: (800) 404-6050 |
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