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NPI Code Detail

MEDICARE: DR. KEVINE NORRIS JR. D.C.

MEDICARE: DR. KEVINE NORRIS JR. 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
1111N00000XChiropractor12951TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112951OTHERTXCHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1972982833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVINE NORRIS JR. 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 : 800-404-6050
Fax Number : 866-313-3397
Provider Business Practice Location Address
First Line : 2303 RANCH ROAD 620 S STE 190
Second Line :
City : LAKEWAY
State : TX
Zip : 78734-6232
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 02/25/2026

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