MEDICARE: FIELDEN CHIROPRACTIC AND CONSULTING

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	7212	TX

General Provider Information

NPI Number	:	1003021643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIELDEN CHIROPRACTIC AND CONSULTING

Provider Business Mailing Address
First Line	:	1205 N LOOP 1604 W
Second Line	:	SUITE 211
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4624
Country	:	US
Telephone Number	:	210-764-8888
Fax Number	:	210-764-2601

Provider Business Practice Location Address
First Line	:	1205 N LOOP 1604 W
Second Line	:	SUITE 211
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4624
Country	:	US
Telephone Number	:	210-764-8888
Fax Number	:	210-764-2601

Authorized Official
Title or Position	:	OWNERCHIROPRACTOR
Name	:	DR. RONALD DUANE FIELDEN II
Credential	:	B.S.,D.C.
Telephone Number	:	210-764-8888

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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