| Alta Physicians Management Llc | |
|
322 S Flores St, San Antonio, TX 78204-1106 | |
| (210) 222-0999 | |
| Not Available |
| Full Name | Alta Physicians Management Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 322 S Flores St, 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 |
|---|---|---|---|
| 1710084926 | NPI | - | NPPES |
| 0031JW | Other | TX | BLUECROSS/BLUE SHIELD |
| 174577001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | F006458 (Texas) | Primary |
| Provider Name | Sal Altakali |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992714547 PECOS PAC ID: 0648224758 Enrollment ID: I20050310000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Physicians Management Llc 322 S Flores St, San Antonio, TX 78204-1106 Ph: () - | Alta Physicians Management Llc 322 S Flores St, San Antonio, TX 78204-1106 Ph: (210) 222-0999 |
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