Organization
EAGLE PASS SPINE AND REHAB,LLC
Active
Other names
South Texas Spine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAKIA SHAWNEE LONG (PRACTICE MANAGER)
(830) 776-5996
Entity
Organization
Contact information
Practice address
2435 N VETERANS BLVD, SUITE A, EAGLE PASS, TX 78852-6483
(830) 776-5996
(830) 776-5992
Mailing address
2435 N VETERANS BLVD, SUITE A, EAGLE PASS, TX 78852-6483
(830) 776-5996
(830) 776-5992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4664
TX
Other
Enumeration date
05/17/2012
Last updated
08/22/2012
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