Provider Demographics
NPI:1235566399
Name:COMMERCE CHIROPRACTIC
Entity Type:Organization
Organization Name:COMMERCE CHIROPRACTIC
Other - Org Name:ABUNDANT LIFE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARTHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-434-5772
Mailing Address - Street 1:2946 CULEBRA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-6103
Mailing Address - Country:US
Mailing Address - Phone:210-434-5772
Mailing Address - Fax:210-434-5773
Practice Address - Street 1:2946 CULEBRA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-6103
Practice Address - Country:US
Practice Address - Phone:210-434-5772
Practice Address - Fax:210-434-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9434111N00000X
TX9785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty