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Organization
MEDINA VALLEY SPINE AND JOINT, LLC
Active
Organization
MEDINA VALLEY SPINE AND JOINT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST CONRAD KOTHMANN DC (MANAGING MEMBER)
(830) 931-2211
Entity
Organization
Contact information
Practice address
209 US HIGHWAY 90 W, SUITE 2, CASTROVILLE, TX 78009-4540
(830) 931-2211
(830) 538-3778
Mailing address
209 US HIGHWAY 90 W, SUITE 2, CASTROVILLE, TX 78009-4540
(830) 931-2211
(830) 538-3778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6704
TX
225X00000X
Occupational Therapist
109851
TX
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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