Provider Demographics
NPI:1316390800
Name:RJN, PLLC
Entity Type:Organization
Organization Name:RJN, PLLC
Other - Org Name:ELITE CHIROPRACTIC & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NATIVIDAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:210-316-6147
Mailing Address - Street 1:7307 GEORGE BURNS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2326
Mailing Address - Country:US
Mailing Address - Phone:210-316-6147
Mailing Address - Fax:
Practice Address - Street 1:9708 BUSINESS PKWY STE 114
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4742
Practice Address - Country:US
Practice Address - Phone:210-316-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13228302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization