Organization
BROADWAY CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A WAFFUL D.C. (PRESIDENT)
(210) 828-4422
Entity
Organization
Contact information
Practice address
7870 BROADWAY ST # C-100, SAN ANTONIO, TX 78209-2561
(210) 828-4422
Mailing address
7870 BROADWAY ST # C-100, SAN ANTONIO, TX 78209-2561
(210) 828-4422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4563
TX
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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