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Individual

DR. ISMAEL V. HOLGUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2946 CULEBRA RD, SAN ANTONIO, TX 78228-6103
(210) 434-5772
(210) 434-5773
Mailing address
2946 CULEBRA RD, SAN ANTONIO, TX 78228-6103
(210) 434-5772
(210) 434-5773

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5562
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120368123113
HUMANA PROVIDER NUMBER
TX
01
603334
BLUE CROSS PROVIDER NUMBE
TX
01
7617560
AETNA PROVIDER NUMBER
TX
Enumeration date
01/30/2007
Last updated
07/08/2007
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