Organization
JEFFCO MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT REYNOLDS D.C. (PRESIDENT)
(210) 738-0771
Entity
Organization
Contact information
Practice address
10221 DESERT SANDS ST STE 206, SAN ANTONIO, TX 78216-3944
(210) 738-0771
(210) 342-1004
Mailing address
10221 DESERT SANDS ST STE 206, SAN ANTONIO, TX 78216-3944
(210) 738-0771
(210) 342-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187957901
—
TX
01
—
8W1320
BCBS
TX
Enumeration date
12/19/2006
Last updated
11/04/2010
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