Active NPI
San Antonio Pain and Rehab Center
- Chiropractor
- San Antonio, TX
National Provider Identifier
1063674729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6895
- Legal business name
- SAN ANTONIO PAIN AND REHAB CENTER
- Practice address
- 1007 Poteet Jourdanton Fwy
120
San Antonio, TX 78224-1207 - Phone
- (210) 927-7788
- Fax
- (210) 923-6636
- NPI assigned
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anh Tien Pham, DC
- Title
- Doctor of Chiropractic/Owner
- Phone
- (956) 343-2705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6895 | TX | Primary |
Addresses
Primary practice location
1007 Poteet Jourdanton Fwy
120
San Antonio, TX 78224-1207
Mailing address
PO Box 241979
San Antonio, TX 78224-8979
Phone (210) 927-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099PK | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1063674729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241979",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782248979",
"telephone_number": "210-927-7788",
"fax_number": "210-923-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 POTEET JOURDANTON FWY",
"address_2": "120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241207",
"telephone_number": "210-927-7788",
"fax_number": "210-923-6636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO PAIN AND REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "ANH",
"authorized_official_middle_name": "TIEN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
"authorized_official_telephone_number": "956-343-2705",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "6895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0099PK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- San Antonio Oral and Maxillofacial Surgery Associates, P,a.
- San Antonio Oral Surgery, P.a.
- San Antonio Orthotics
- San Antonio Orthotics Corporation
- San Antonio Osteo Relief Center PA
- San Antonio Pain Consultants PA
- San Antonio Pain Management ASC, LLC
- San Antonio Pediatric & Adolescent Neuropsychology Specialists PLLC
- San Antonio Pediatric Assciates PA
- San Antonio Pediatric Assoc PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.