Individual
DR. BARON TYRONE NICKLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7410 BLANCO RD, SAN ANTONIO, TX 78216-4363
(800) 404-6050
Mailing address
7410 BLANCO RD STE 400, SAN ANTONIO, TX 78216-4363
(800) 404-6050
(210) 477-4956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9283
TX
111NR0400X
Rehabilitation Chiropractor
9283
TX
111NS0005X
Sports Physician Chiropractor
9283
TX
Other
Enumeration date
05/02/2007
Last updated
08/22/2008
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