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Contact Information

ALTA PHYSICIANS MANAGEMENT LLC
322 S FLORES ST
SAN ANTONIO, TX78204-1106
 Phone: 210-222-0999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALTA PHYSICIANS MANAGEMENT LLC · (Female)

NPI # 1710084926
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 04/29/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # F006458
  • TX Medicaid 174577001
  • TX Other 0031JW BLUECROSS/BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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