| Keystone Chiropractic And Wellness Pllc | |
|
1611 Commercial Ave San Antonio TX 78221-1004 | |
| (210) 922-0942 | |
| Not Available |
| Full Name | Keystone Chiropractic And Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1611 Commercial Ave, San Antonio, Texas |
| Authorized Official Name and Position | Brian William Long (CHIROPRACTOR/OWNER) |
| Authorized Official Contact | 2673773238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Chiropractic And Wellness Pllc 1611 Commercial Ave San Antonio TX 78221-1004 Ph: (210) 922-0942 | Keystone Chiropractic And Wellness Pllc 1611 Commercial Ave San Antonio TX 78221-1004 Ph: (210) 922-0942 |
| NPI Number | 1285322867 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Medicare PECOS PAC ID | 1153788906 |
|---|---|
| Medicare Enrollment ID | O20230609000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285322867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Brian William Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760170682 PECOS PAC ID: 2062879810 Enrollment ID: I20230609000493 |
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