Broadway Chiropractic Clinic, Pc | |
7870 Broadway St # C-100, San Antonio, TX 78209-2561 | |
(210) 828-4422 | |
Not Available |
Full Name | Broadway Chiropractic Clinic, Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 7870 Broadway St # C-100, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164509816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4563 (Texas) | Primary |
Provider Name | Robert A Wafful |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235174814 PECOS PAC ID: 4789846619 Enrollment ID: I20120611000073 |
Mailing Address | Practice Location Address |
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Broadway Chiropractic Clinic, Pc 7870 Broadway St # C-100, San Antonio, TX 78209-2561 Ph: (210) 828-4422 | Broadway Chiropractic Clinic, Pc 7870 Broadway St # C-100, San Antonio, TX 78209-2561 Ph: (210) 828-4422 |
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