San Pedro N. Chiropractic Center | |
1006 Central Pkwy S San Antonio TX 78232-5021 | |
(210) 490-9169 | |
(210) 545-7740 |
Full Name | San Pedro N. Chiropractic Center |
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Speciality | Clinic/Center |
Location | 1006 Central Pkwy S, San Antonio, Texas |
Authorized Official Name and Position | Doreen Ann Lewis-overton (OWNER) |
Authorized Official Contact | 2104909169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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San Pedro N. Chiropractic Center 1006 Central Pkwy S San Antonio TX 78232-5021 Ph: (210) 490-9169 | San Pedro N. Chiropractic Center 1006 Central Pkwy S San Antonio TX 78232-5021 Ph: (210) 490-9169 |
NPI Number | 1164529434 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/09/2010 |
Medicare PECOS PAC ID | 5092839282 |
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Medicare Enrollment ID | O20100824001203 |
Identifier | Type | State | Issuer |
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1164529434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4193 (Texas) | Primary |
Provider Name | Doreen Ann Lewis-overton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528004025 PECOS PAC ID: 6901920198 Enrollment ID: I20100824001235 |
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