Organization
TOTAL SPINE CARE & INJURY REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DYKES SHRUM (CHIROPRACTOR)
(210) 748-7200
Entity
Organization
Contact information
Practice address
5403 JACKWOOD DR, SAN ANTONIO, TX 78238-1809
(210) 682-3333
Mailing address
PO BOX 310701, NEW BRAUNFELS, TX 78131-0701
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
7886DC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7886DC
TBCE LIC. NO.
TX
Enumeration date
04/03/2007
Last updated
08/22/2020
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