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Organization
JONATHAN GOFF ENTERPRISES, INC
Active
Organization
JONATHAN GOFF ENTERPRISES, INC
Active
Other names
Back & Body Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A GOFF DC (OWNER)
(210) 497-3100
Entity
Organization
Contact information
Practice address
2610 TPC PKWY, SUITE 101, SAN ANTONIO, TX 78259-2393
(201) 497-3100
Mailing address
2610 TPC PKWY, SUITE 101, SAN ANTONIO, TX 78259-2393
(201) 497-3100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046KB
BCBS
TX
Enumeration date
12/19/2007
Last updated
06/16/2010
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