| Peterson Chiropractic | |
|
4230 Gardendale St Ste 201, San Antonio, TX 78229-3476 | |
| (210) 691-2747 | |
| (210) 691-2872 |
| Full Name | Peterson Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4230 Gardendale St Ste 201, 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 |
|---|---|---|---|
| 1902391121 | NPI | - | NPPES |
| 1548312382 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7180 (Texas) | Primary |
| Provider Name | Ward W Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811052806 PECOS PAC ID: 6709961519 Enrollment ID: I20080304000404 |
| Provider Name | Timothy W Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548312382 PECOS PAC ID: 0143407106 Enrollment ID: I20110601000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Chiropractic 4230 Gardendale St Ste 201, San Antonio, TX 78229-3476 Ph: (210) 691-2747 | Peterson Chiropractic 4230 Gardendale St Ste 201, San Antonio, TX 78229-3476 Ph: (210) 691-2747 |
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