MEDICARE: CALANDRA CHIROPRACTIC PLLC

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	10788	TX

General Provider Information

NPI Number	:	1942469531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALANDRA CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	11230 WEST AVE
Second Line	:	SUITE 2207
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1350
Country	:	US
Telephone Number	:	210-408-6446
Fax Number	:

Provider Business Practice Location Address
First Line	:	11230 WEST AVE
Second Line	:	SUITE 2207
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1350
Country	:	US
Telephone Number	:	210-408-6446
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL CALANDRA
Credential	:	DC
Telephone Number	:	210-408-6446

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	12/27/2013

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