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Organization

REGEN CHIRO, PLLC

Active
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Organization

REGEN CHIRO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY NIEWIREOWSKI D.C. (CHIROPRACTOR)
(210) 236-8076
Entity
Organization

Contact information

Practice address
15650 CLASSEN ROAD, SAN ANTONIO, TX 78247-5116
(210) 236-8076
(210) 236-8078
Mailing address
15650 CLASSEN ROAD, SAN ANTONIO, TX 78247-5116
(210) 236-8076
(210) 236-8078

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10885
TX

Other

Enumeration date
07/26/2011
Last updated
07/26/2011
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