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NPI Code Detail

MEDICARE: DR. CASEY CRISP D.C.

MEDICARE: DR. CASEY CRISP 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
1111N00000XChiropractor12149TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112149OTHERCACHIROPRACTIC LICENSE
212149OTHERTXCHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1447248240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASEY CRISP D.C.
Provider Business Mailing Address
First Line : PO BOX 700688
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78270-0688
Country : US
Telephone Number : 210-318-3007
Fax Number : 210-468-0682
Provider Business Practice Location Address
First Line : 111 TOWER DR BLDG 1
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-3625
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 02/25/2026

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