SAN ANTONIO PAIN AND REHAB CENTER (NPI# 1063674729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063674729 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO PAIN AND REHAB CENTER |
| Practice Address |
1007 Poteet Jourdanton Fwy 120 San Antonio TX 78224-1207 |
| Mailing Address |
Po Box 241979 San Antonio TX 78224-8979 |
| Practice Telephone | 2109277788 |
| Practice Fax Number | 2109236636 |
| Mailing Telephone | 2109277788 |
| Mailing Fax Number | 2109236636 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | ANH TIEN PHAM (DOCTOR OF CHIROPRACTIC/OWNER) |
| Authorized Official Telephone | 9563432705 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6895 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0099PK | 01 |
| Street Address |
1007 POTEET JOURDANTON FWY 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78224-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760547681 | Anh Tien Pham | Chiropractor | 1007 Poteet Jourdanton Fwy, 120, San Antonio, TX 78224-1207 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1770124984 | Lillian Cerritos | Physical Therapist | 7719 I-35 S. #213, San Antonio, TX 78224 | 2019-09-30 |
| 1730606211 | Stephanie Hernandez | Physical Therapy Assistant | 2227 Sundrop Bay, San Antonio, TX 78224 | 2017-08-25 |
| 1770012155 | Pedro Daniel Godoy Sr. | Technician | 9422 Hindi St., San Antonio, TX 78224 | 2017-06-08 |
| 1417408642 | Lynda Marie Perez | Specialist/Technologist | 98 Briggs Ave #990, San Antonio, TX 78224 | 2016-10-24 |
| 1679933832 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8731 Poteet Jourdanton Freeway, San Antonio, TX 78224 | 2016-03-02 |
| 1699157495 | Samantha Gonzalez | Obstetrics & Gynecology | 7430 Barlite Blvd Ste 105, San Antonio, TX 78224 | 2015-06-29 |
| 1043601206 | Abraham A Alecozay Md Pa Phd | Obstetrics & Gynecology | 7430 Barlite Suite 105, San Antonio, TX 78224 | 2015-02-10 |
| 1265846794 | Ashley Arellano | Speech-Language Pathologist | 98 Briggs Avenue, Suite 990, San Antonio, TX 78224 | 2014-06-12 |
| 1912310244 | Jose Angel Musquiz Jr. | Massage Therapist | 7423 Yarrow Blvd Apt 3107, San Antonio, TX 78224 | 2014-06-04 |
| Find all providers in zip 78224 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1073128682 | Ashley Escamilla Boerner & Associates LLC | Chiropractor | 12227 Huebner Rd Ste 102, San Antonio, TX 78230-1251 | 2020-09-10 |
| 1407466717 | Elida Ann Ramos | Chiropractor | 3011 S Flores St, San Antonio, TX 78204-2634 | 2020-08-03 |
| 1487289682 | Scott Castle | Chiropractor | 15739 San Pedro Ave, San Antonio, TX 78232-3726 | 2020-03-08 |
| 1912531328 | Alisa Sharma | Chiropractor | 7338 Louis Pasteur Dr Ste 101, San Antonio, TX 78229-4590 | 2020-02-24 |
| 1407499627 | Darian Moseley | Chiropractor | 8527 Village Dr Ste 101, San Antonio, TX 78217-5507 | 2019-10-21 |
| 1285276543 | Stone Oak Chiropractic | Chiropractor | 510 Med Ct Ste 207, San Antonio, TX 78258-3484 | 2019-10-08 |
| 1740746346 | Federal Medical Solutions | Chiropractor | 4423 Nw Loop 410 Ste 203, San Antonio, TX 78229-5186 | 2019-02-19 |
| 1023574803 | Cynthia Fierro-gomez | Chiropractor | 4804 Research Dr, San Antonio, TX 78240-5004 | 2019-02-15 |
| 1689140980 | Brianne Kerry Schroeder | Chiropractor | 9910 Huebner Rd Ste 150a, San Antonio, TX 78240-1399 | 2018-10-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78224 |
Please comment or provide details below to improve the information on SAN ANTONIO PAIN AND REHAB CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.