| |
9727 Poteet Jourdanton Fwy, Suite 101, San Antonio, TX 78211-4574 | |
(210) 881-0630 | |
(210) 641-1608 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 9727 Poteet Jourdanton Fwy, San Antonio, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407395353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (Texas) | Primary |
Mailing Address | Practice Location Address |
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1015 W 39th 1/2 St, Austin, TX 78756-4005 Ph: (512) 371-7478 | 9727 Poteet Jourdanton Fwy, Suite 101, San Antonio, TX 78211-4574 Ph: (210) 881-0630 |