Provider Type Icon

ANGELO BACK & REHAB PA NPI 1760515373


NPI Information

NPI: 1760515373
Provider Name: ANGELO BACK & REHAB, PA

Doing Business As: ANGELO BACK & REHAB

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3950 SUNSET DR
SAN ANGELO, TX
ZIP 76904
Phone: (325) 949-1600
Get Directions

ANGELO BACK & REHAB, PA is a chiropractor in San Angelo, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ANGELO BACK & REHAB, PA NPI is 1760515373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Angelo Back & Rehab.

The provider's business location address is:

3950 SUNSET DR
SAN ANGELO, TX
ZIP 76904-622
Phone: (325) 949-1600
Fax: (325) 944-3754

The provider's authorized official is Brian Jay Anderson .
The authorized official title is Chiropractor and has the following contact phone number (325) 949-1600.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4939TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001442501MEDICAIDTEXAS
28F5111OTHERTEXASBCBS
300357TMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.