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MEDINA VALLEY SPINE AND JOINT LLC NPI 1023282811


NPI Information

NPI: 1023282811
Provider Name: MEDINA VALLEY SPINE AND JOINT, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
209 US HIGHWAY 90 W
SUITE 2
CASTROVILLE, TX
ZIP 78009
Phone: (830) 931-2211
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MEDINA VALLEY SPINE AND JOINT, LLC is a chiropractor in Castroville, 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. MEDINA VALLEY SPINE AND JOINT, LLC NPI is 1023282811. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 US HIGHWAY 90 W
SUITE 2
CASTROVILLE, TX
ZIP 78009-540
Phone: (830) 931-2211
Fax: (830) 538-3778

The provider's authorized official is Ernest Conrad Kothmann .
The authorized official title is Managing Member and has the following contact phone number (830) 931-2211.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.


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
1225X00000XOccupational Therapist109851TEXASNo
2111N00000XChiropractorDC6704TEXASYes

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

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