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Organization
MISSION CHIROPRACTIC AND INJURY CLINIC, P.A.
Active
Organization
MISSION CHIROPRACTIC AND INJURY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W GRIMM D.C. (CHIROPRACTOR)
(210) 342-4000
Entity
Organization
Contact information
Practice address
7330 SAN PEDRO AVE STE 120, SAN ANTONIO, TX 78216-6236
(210) 342-4000
(210) 342-4181
Mailing address
7330 SAN PEDRO AVE STE 120, SAN ANTONIO, TX 78216-6236
(210) 342-4000
(210) 342-4181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2664613
AETNA
TX
01
—
8F4900
BCBS
TX
01
—
DC6997
STATE LICENSE
TX
Enumeration date
03/26/2007
Last updated
04/20/2012
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