Provider Demographics
NPI:1225235823
Name:CON CAM HEALTH SERVICES
Entity Type:Organization
Organization Name:CON CAM HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALCOTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-735-5550
Mailing Address - Street 1:17460 IH 35 N
Mailing Address - Street 2:160 285
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1264
Mailing Address - Country:US
Mailing Address - Phone:210-735-5550
Mailing Address - Fax:210-735-1102
Practice Address - Street 1:17460 IH 35 N
Practice Address - Street 2:160 285
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1264
Practice Address - Country:US
Practice Address - Phone:210-735-5550
Practice Address - Fax:210-735-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty