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Organization

GENERATION CHIROPRACTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA DOUGLAS BONINE D.C. (SOLE MEMBER)
(210) 699-0500
Entity
Organization

Contact information

Practice address
5999 DE ZAVALA RD, SUITE 145, SAN ANTONIO, TX 78249-2233
(210) 699-0500
(210) 699-0501
Mailing address
5999 DE ZAVALA RD, SUITE 145, SAN ANTONIO, TX 78249-2233
(210) 699-0500
(210) 699-0501

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11173
TX

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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