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BROADWAY CHIROPRACTIC CLINIC PC NPI 1164509816


NPI Information

NPI: 1164509816
Provider Name: BROADWAY CHIROPRACTIC CLINIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7870 BROADWAY ST # C-100
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 828-4422
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BROADWAY CHIROPRACTIC CLINIC, PC is a chiropractor in San Antonio, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BROADWAY CHIROPRACTIC CLINIC, PC NPI is 1164509816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7870 BROADWAY ST # C-100
SAN ANTONIO, TX
ZIP 78209-561
Phone: (210) 828-4422

The provider's authorized official is Robert A Wafful .
The authorized official title is President and has the following contact phone number (210) 828-4422.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4563TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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