Organization Active NPI

Alamo Chiropractic & Rehab Center PLLC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1588816110
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALAMO CHIROPRACTIC & REHAB CENTER PLLC
Practice address
12042 Blanco Rd Ste 302
San Antonio, TX 78216-5438
Phone
(210) 979-6777
Fax
(210) 979-6778
NPI assigned
Oct 14, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Mahmoud Vatankha, DC
Title
Executive Officer, Owner
Phone
(210) 979-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

12042 Blanco Rd Ste 302
San Antonio, TX 78216-5438

Mailing address

12042 Blanco Rd Ste 302
San Antonio, TX 78216-5438
Phone (210) 979-6777

National Provider Directory

National Provider Directory

Locations

12042 Blanco Rd
Ste 302
San Antonio, TX 78216
Phone (210) 979-6777

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1588816110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165438",
            "telephone_number": "210-979-6777",
            "fax_number": "210-979-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BLANCO RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165438",
            "telephone_number": "210-979-6777",
            "fax_number": "210-979-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CHIROPRACTIC & REHAB CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "VATANKHA",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER, OWNER",
        "authorized_official_telephone_number": "210-979-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.