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Organization
KAISER MEDICAL MANAGEMENT, LLC
Active
Organization
KAISER MEDICAL MANAGEMENT, LLC
Active
Other names
Southtexas Spine & Joint Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R KAISER DC (OWNER)
(210) 545-7000
Entity
Organization
Contact information
Practice address
16111 SAN PEDRO AVE STE 109, SAN ANTONIO, TX 78232-3062
(210) 545-7000
(210) 545-1177
Mailing address
16111 SAN PEDRO AVE STE 109, SAN ANTONIO, TX 78232-3062
(210) 545-7000
(210) 545-1177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063EZ
BCBS
TX
Enumeration date
06/15/2007
Last updated
06/23/2010
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