MEDICARE: E R CHIROPRACTIC PC

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	4453	TX
2	111N00000X	Chiropractor	DC4453	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	177994700	OTHER		U S TREASUREY
2	88220Y	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1811019177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E R CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	PO BOX 700867
Second Line	:	THOUSAND OAKS UNITED CHIROPRACTIC
City	:	SAN ANTONIO
State	:	TX
Zip	:	78270-0867
Country	:	US
Telephone Number	:	210-490-3555
Fax Number	:	210-490-3577

Provider Business Practice Location Address
First Line	:	2235 THOUSAND OAKS
Second Line	:	SUITE 111
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3966
Country	:	US
Telephone Number	:	210-490-3555
Fax Number	:	210-490-3577

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. HOLLIS R HELMS
Credential	:	DC
Telephone Number	:	210-490-3555

Provider Enumeration Date	:	04/05/2007
Last Update Date	:	04/24/2013

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Directions to “E R CHIROPRACTIC PC ” Practice Location

Language	Start Address	Practice Location

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