Individual
DR. BRODERRICK DARRELL KOOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1213 BASSE RD, SAN ANTONIO, TX 78212-1007
(210) 735-0588
(210) 735-3823
Mailing address
PO BOX 34722, SAN ANTONIO, TX 78265-4722
(210) 735-0588
(210) 735-3823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5620
TX
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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