MEDICARE: WAAD & ABD LLC

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

General Provider Information

NPI Number	:	1952932618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAAD & ABD LLC

Provider Business Mailing Address
First Line	:	7271 WURZBACH RD STE 133
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3892
Country	:	US
Telephone Number	:	210-255-3888
Fax Number	:	210-255-3872

Provider Business Practice Location Address
First Line	:	7271 WURZBACH RD STE 133
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3892
Country	:	US
Telephone Number	:	210-255-3888
Fax Number	:	210-255-3872

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. ABDALLAH AZZAM
Credential	:	DC
Telephone Number	:	210-255-3888

Provider Enumeration Date	:	01/31/2020
Last Update Date	:	05/05/2022

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Directions to “WAAD & ABD LLC ” Practice Location

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