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Individual

DR. JOE ANTHONY DUARTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6011 BROADWAY ST, SAN ANTONIO, TX 78209-4554
(210) 771-2136
(210) 247-9463
Mailing address
6011 BROADWAY ST, SAN ANTONIO, TX 78209-4554
(210) 771-2136
(210) 247-9463

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
10778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10778
STATE LICENSE
TX
Enumeration date
02/27/2008
Last updated
05/22/2012
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