Organization
ANGELO BACK & REHAB, PA
Active
Other names
Angelo Back & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JAY ANDERSON D.C. (CHIROPRACTOR)
(325) 949-1600
Entity
Organization
Contact information
Practice address
3950 SUNSET DR, SAN ANGELO, TX 76904-5622
(325) 949-1600
(325) 944-3754
Mailing address
3950 SUNSET DR, SAN ANGELO, TX 76904-5622
(325) 949-1600
(325) 944-3754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001442501
—
TX
01
—
8F5111
BCBS
TX
Enumeration date
03/13/2007
Last updated
11/29/2010
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