Angelina Mae Artho, D.C.

Individual provider Active NPI Chiropractor · San Antonio, TX

NPI 1336200864 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1336200864
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
9785 (TX)
Practice address
2946 Culebra Rd
San Antonio, TX 78228-6103
Phone
(210) 434-5772
Fax
(210) 434-5772
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2946 Culebra Rd
San Antonio, TX 78228-6103
Phone (210) 434-5772

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040719000210 TX Practitioner - Chiropractic 8022097641 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9785TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Chiropractic Chiropractor Current
since Mar 26, 2016
Accepting new patients
Artho Family Chiropractic Center Chiropractor Past
since Jul 16, 2004
Accepting new patients

Locations

2946 Culebra Rd
San Antonio, TX 78228
Phone (210) 434-5772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9785 TX Yes

Addresses

Primary practice location

2946 Culebra Rd
San Antonio, TX 78228-6103

Mailing address

2946 Culebra Rd
San Antonio, TX 78228-6103
Phone (210) 434-5772

Other identifiers

IdentifierTypeStateIssuer
1706434-01MedicaidTX
8M5461OtherTXBLUE CROSS BLUE SHIELD

Other providers in San Antonio, TX

All providers in San Antonio, TX · Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.