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Organization
SAN ANTONIO PAIN AND REHAB CENTER
Active
Organization
SAN ANTONIO PAIN AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANH TIEN PHAM DC (DOCTOR OF CHIROPRACTIC/OWNER)
(956) 343-2705
Entity
Organization
Contact information
Practice address
1007 POTEET JOURDANTON FWY, 120, SAN ANTONIO, TX 78224-1207
(210) 927-7788
(210) 923-6636
Mailing address
PO BOX 241979, SAN ANTONIO, TX 78224-8979
(210) 927-7788
(210) 923-6636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099PK
BCBS
TX
Enumeration date
06/25/2008
Last updated
06/25/2008
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