Organization
BAKHSH CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATTOLLAH NEJAT-BAKHSH D.C. (PRESIDENT)
(210) 340-0333
Entity
Organization
Contact information
Practice address
603 ISOM RD, STE #103, SAN ANTONIO, TX 78216-4455
(210) 340-0333
(210) 340-0955
Mailing address
603 ISOM RD, STE #103, SAN ANTONIO, TX 78216-4455
(210) 340-0333
(210) 340-0955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y229
MEDICARE GROUP NUMBER
—
05
—
1555088
—
TX
01
—
8X1960
BCBS
TX
Enumeration date
04/12/2007
Last updated
08/06/2015
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