Culebra Injury & Pain Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC8485 Issued in TX

Legal business name

CULEBRA INJURY & PAIN CLINIC, LLC

Practice address

1430 Culebra Rd
San Antonio, TX 78201-5909

Phone

(210) 733-9999

Fax

(210) 733-5233

NPI assigned

Sep 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Waikem, D.C.NPI 1417966318

Title

Chiropractor/Proprietor

Phone

(210) 733-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick B Waikem, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1417966318
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1003002122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015909",
            "telephone_number": "210-733-9999",
            "fax_number": "210-733-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015909",
            "telephone_number": "210-733-9999",
            "fax_number": "210-733-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULEBRA INJURY & PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WAIKEM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR/PROPRIETOR",
        "authorized_official_telephone_number": "210-733-9999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Culebra - Tezel Medical Center, LLC
• Culebra Children'S Dental Association PLLC
• Culebra Chiropractic Clinic
• Culebra Ers Acquisition Partners LLC
• Culebra Family Dentistry PLLC
• Culebra Meadows Dental Partners PLLC
• Culebra North Dental Care
• Culebra Pediatric Dentistry, PLLC
• Culebra RX Pharmacy
• Culebra Smiles and Orthodontics, PC

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.