Organization · NPI-2
1895 Chiropractic PLLC
Chiropractor · San Antonio, TX
NPI number1902491715
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1902491715
- Entity type
- Organization (NPI-2)
- Legal business name
- 1895 Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2021
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
8151 Broadway Ste 109bSan Antonio, TX 78209-1995
Phone 210-951-0355
Mailing address
8151 Broadway Ste 109bSan Antonio, TX 78209-1995
Phone 210-951-0355
Authorized official
Bryant Anthony Saenz
Chiropractor
2109510355
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