| San Pedro N. Chiropractic Center | |
|
1006 Central Pkwy S San Antonio TX 78232-5021 | |
| (210) 490-9169 | |
| (210) 545-7740 |
| Full Name | San Pedro N. Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1006 Central Pkwy S, San Antonio, Texas |
| Authorized Official Name and Position | Doreen Ann Lewis-overton (OWNER) |
| Authorized Official Contact | 2104909169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pedro N. Chiropractic Center 1006 Central Pkwy S San Antonio TX 78232-5021 Ph: (210) 490-9169 | San Pedro N. Chiropractic Center 1006 Central Pkwy S San Antonio TX 78232-5021 Ph: (210) 490-9169 |
| NPI Number | 1164529434 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 5092839282 |
|---|---|
| Medicare Enrollment ID | O20100824001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164529434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4193 (Texas) | Primary |
| Provider Name | Doreen Ann Lewis-overton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528004025 PECOS PAC ID: 6901920198 Enrollment ID: I20100824001235 |
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