Individual
DR. JAMES LEONARD MACIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
16410 BLANCO RD, SUITE NUMBER 5, SAN ANTONIO, TX 78232-1906
(210) 764-0405
Mailing address
16410 BLANCO RD, SUITE NUMBER 5, SAN ANTONIO, TX 78232-1906
(210) 764-0405
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
12624
TX
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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