Organization
ALTA PHYSICIANS MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAL ALTAKALI DC (CLINIC DIRECTOR)
(210) 222-0999
Entity
Organization
Contact information
Practice address
322 S FLORES ST, SAN ANTONIO, TX 78204-1106
(210) 222-0999
Mailing address
322 S FLORES ST, SAN ANTONIO, TX 78204-1106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F006458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031JW
BLUECROSS/BLUE SHIELD
TX
05
—
174577001
—
TX
Enumeration date
09/20/2006
Last updated
04/29/2009
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