| The Golab Center For Back & Joint Relief | |
|
1205 N Loop 1604 W Ste 211, San Antonio, TX 78258-4627 | |
| (210) 764-8888 | |
| (830) 460-9329 |
| Full Name | The Golab Center For Back & Joint Relief |
|---|---|
| Type | Facility |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 1205 N Loop 1604 W Ste 211, 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 |
|---|---|---|---|
| 1740961689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (NU) | Primary |
| Provider Name | Michael Golab |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497820898 PECOS PAC ID: 5294723755 Enrollment ID: I20040504000218 |
| Provider Name | Brandon W Grimm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033146170 PECOS PAC ID: 0143291377 Enrollment ID: I20040803000242 |
| Provider Name | Sunil Kurup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952532988 PECOS PAC ID: 9830223817 Enrollment ID: I20140828002113 |
| Provider Name | Olinda C Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124152624 PECOS PAC ID: 4880812064 Enrollment ID: I20140829001751 |
| Provider Name | Shaun R Gifford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558491241 PECOS PAC ID: 1254326788 Enrollment ID: I20180207001801 |
| Provider Name | Ashley D Arellano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124459227 PECOS PAC ID: 5799912994 Enrollment ID: I20191211002394 |
| Provider Name | Ronald D Fielden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477581007 PECOS PAC ID: 2163592080 Enrollment ID: I20231012001266 |
| Mailing Address | Practice Location Address |
|---|---|
| The Golab Center For Back & Joint Relief 1205 N Loop 1604 W Ste 211, San Antonio, TX 78258-4627 Ph: (210) 764-8888 | The Golab Center For Back & Joint Relief 1205 N Loop 1604 W Ste 211, San Antonio, TX 78258-4627 Ph: (210) 764-8888 |