MEDICARE: COMBINED CARE SYSTEMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC7096	TX

General Provider Information

NPI Number	:	1386750016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMBINED CARE SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 40547
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-1547
Country	:	US
Telephone Number	:	210-342-9400
Fax Number	:	210-342-9418

Provider Business Practice Location Address
First Line	:	2424 BABCOCK RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6031
Country	:	US
Telephone Number	:	210-342-9400
Fax Number	:	210-342-9418

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MIROSLAVA MORENO
Credential	:
Telephone Number	:	210-342-9400

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	08/22/2020

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