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NPI Code Detail

MEDICARE: AIQ ENTERPRISES INC

MEDICARE: AIQ ENTERPRISES INC
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
1133V00000XRegistered DietitianDT07302TX

General Provider Information

NPI Number : 1083734701
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIQ ENTERPRISES INC
Provider Business Mailing Address
First Line : 7214 ADAIR POST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-6298
Country : US
Telephone Number : 210-481-6519
Fax Number : 210-481-6519
Provider Business Practice Location Address
First Line : 7214 ADAIR POST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78250-6298
Country : US
Telephone Number : 210-481-6519
Fax Number : 210-481-6519
Authorized Official
Title or Position : OWNER
Name : NIRMALA AUERBACH
Credential : RD
Telephone Number : 210-481-6519
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/05/2007

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Directions to “AIQ ENTERPRISES INC ” Practice Location

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