Accident Benefit Clinics LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

F007340 Issued in TX

Legal business name

ACCIDENT BENEFIT CLINICS LLC

Doing business as

Abc

Practice address

5835 Callaghan Rd
Suite 209
San Antonio, TX 78228-1125

Phone

(210) 684-1600

Fax

(210) 684-1601

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Angelife Pardo

Title

Owner

Phone

(210) 684-1600

Specialties & licenses 1

Addresses

Other names 1

• ABC Doing business as

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1922256932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281125",
            "telephone_number": "210-684-1600",
            "fax_number": "210-684-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281125",
            "telephone_number": "210-684-1600",
            "fax_number": "210-684-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT BENEFIT CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "ANGELIFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-684-1600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "F007340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.