Healthcare Provider Details

I. General information

NPI: 1205256625
Provider Name (Legal Business Name): ENMOTION WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24385 WILDERNESS OAK APT 8103
SAN ANTONIO TX
78258-7763
US

IV. Provider business mailing address

24385 WILDERNESS OAK APT 8103
SAN ANTONIO TX
78258-7763
US

V. Phone/Fax

Practice location:
  • Phone: 210-708-7748
  • Fax:
Mailing address:
  • Phone: 210-708-7748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number11745
License Number StateTX

VIII. Authorized Official

Name: DR. TROY ORLANDO ROBINSON
Title or Position: OWNER / DOCTOR
Credential: DC
Phone: 210-708-7748