Organization
IMPULSE INC
Active
Other names
Family Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA SMITH (BILLER)
(888) 737-9615
Entity
Organization
Contact information
Practice address
9720 DATAPOINT DR, SUITE 101, SAN ANTONIO, TX 78229-2046
(210) 615-0110
(210) 615-9977
Mailing address
PO BOX 40013, SAN ANTONIO, TX 78229-1013
(210) 615-0110
(210) 615-9977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087DE
BCBS
TX
01
—
81503X
BCBS
TX
Enumeration date
12/04/2007
Last updated
03/13/2008
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