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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

NPI # 1710084926
LBN Legal business name ALTA PHYSICIANS MANAGEMENT LLC
Authorized official SAL ALTAKALI - (CLINIC DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 04/29/2009 - About 17 years ago
Identifiers
TX License # F006458
TX Medicaid 174577001
TX Other 0031JW BLUECROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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