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NPI Code Detail

MEDICARE: SOUTH TEXAS CHIROPRACTIC & REHAB

MEDICARE: SOUTH TEXAS CHIROPRACTIC & REHAB
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
1111N00000XChiropractor9502TX

General Provider Information

NPI Number : 1548406770
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH TEXAS CHIROPRACTIC & REHAB
Provider Business Mailing Address
First Line : PO BOX 7101
Second Line :
City : VICTORIA
State : TX
Zip : 77903-7101
Country : US
Telephone Number : 361-485-1225
Fax Number : 361-485-1226
Provider Business Practice Location Address
First Line : 1717 N LAURENT ST STE 100
Second Line :
City : VICTORIA
State : TX
Zip : 77901-6243
Country : US
Telephone Number : 361-485-1225
Fax Number : 361-485-1226
Authorized Official
Title or Position : OWNER
Name : DR. JAMES STEWART CANTU
Credential : D.C.
Telephone Number : 361-485-1225
Provider Enumeration Date : 12/17/2008
Last Update Date : 12/17/2008

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Directions to “SOUTH TEXAS CHIROPRACTIC & REHAB ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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