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Organization
MV SPINE AND JOINT, P.A.
Active
Organization
MV SPINE AND JOINT, P.A.
Active
Other names
Dover Family Chiropractic, P.A., Medina Valley Spine and Joint, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA M DOVER (PRACTICE MANAGER)
(501) 337-6688
Entity
Organization
Contact information
Practice address
703 US HIGHWAY 90 E, SUITE 107, CASTROVILLE, TX 78009-5246
(830) 931-2211
(830) 538-3778
Mailing address
711 MIDWAY CRST, SAN ANTONIO, TX 78258-4335
(501) 337-6688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12929
TX
251T00000X
PACE Provider Organization
1507
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154829718
—
AR
Enumeration date
03/27/2008
Last updated
10/02/2015
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