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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH NELSON D.C.

MEDICARE: DR. WILLIAM JOSEPH NELSON D.C.
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
1111N00000XChiropractor4601TX

General Provider Information

NPI Number : 1588673891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH NELSON D.C.
Provider Business Mailing Address
First Line : 6416 BANDERA RD STE B
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1511
Country : US
Telephone Number : 210-681-1000
Fax Number : 210-680-9921
Provider Business Practice Location Address
First Line : 6416 BANDERA RD STE B
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1511
Country : US
Telephone Number : 210-681-1000
Fax Number : 210-680-9921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 09/30/2008

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