Organization
CANAVAN CENTER CHIROPRACTIC HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN N CARLILE D.C. (OWNER)
(210) 641-6355
Entity
Organization
Contact information
Practice address
8647 WURZBACH RD, BLDG H, SAN ANTONIO, TX 78240-1296
(210) 641-6355
(210) 641-7009
Mailing address
8647 WURZBACH ROAD, BLDG H, SAN ANTONIO, TX 78240
(210) 641-6355
(210) 641-7009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608581
BLUE CROSS/BLUE SHIELD
TX
01
—
8H0000
BLUE CROSS/BLUE SHIELD
TX
01
—
8H0001
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/23/2007
Last updated
10/07/2015
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