Organization
UC4LIFE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB LISERIO TORRES DC (OWNER)
(210) 468-1891
Entity
Organization
Contact information
Practice address
3707 N SAINT MARYS ST, STE. 100, SAN ANTONIO, TX 78212-3168
(210) 468-1891
(210) 591-7827
Mailing address
3707 N SAINT MARYS ST, STE. 100, SAN ANTONIO, TX 78212-3168
(210) 468-1891
(210) 591-7827
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
11313
TX
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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