Active NPI
Abdallah Azzam, DC
- Chiropractor
- San Antonio, TX
National Provider Identifier
1528581980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13988
- Practice address
- 7271 Wurzbach Rd Ste 133
San Antonio, TX 78240-3892 - Phone
- (210) 255-3888
- Fax
- (210) 255-3872
- NPI assigned
- Jul 18, 2017
- Last updated
- May 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13988 | TX | Primary |
Addresses
Primary practice location
7271 Wurzbach Rd Ste 133
San Antonio, TX 78240-3892
Mailing address
7271 Wurzbach Rd Ste 133
San Antonio, TX 78240-3892
Phone (210) 255-3888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13988 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 2171 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Integrated Solutions | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NM Integrated Solution
- Multi-Specialty Clinic/Center
- Las Cruces, NM
- NPI 1063147270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1528581980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7271 WURZBACH RD STE 133",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403892",
"telephone_number": "210-255-3888",
"fax_number": "210-255-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7271 WURZBACH RD STE 133",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403892",
"telephone_number": "210-255-3888",
"fax_number": "210-255-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZZAM",
"first_name": "ABDALLAH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-18",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Ramsha Azmat, CCP, LP
- Romina Agharokh Aznavaleh, DMD
- Azreena Thomas Mdpa
- Andrea Azua Gonzales, MS, CCC-SLP
- Adrianna Nicole Azua, FNP-BC
- B Tano, M.D., P.a. (The Center for Asthma, Allergy, Immunology & Hormone Health (TCAAIH))
- B. Peyton Delaney, M. D. P.a. (Bailey Peyton Delaney)
- B.S.Athreya,M.D.,P.a.& Associates
- B&E Medical Supply and Equipment,LLC
- B&Ereyn LLC (Acti-Kare Responsive In-Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.