Provider Demographics
NPI:1518092774
Name:ALLIED MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:ALLIED MANAGEMENT SERVICES INC
Other - Org Name:PECAN VALLEY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CUDNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-359-9100
Mailing Address - Street 1:6207 PECAN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-3226
Mailing Address - Country:US
Mailing Address - Phone:210-359-9100
Mailing Address - Fax:210-333-6884
Practice Address - Street 1:6207 PECAN VALLEY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3226
Practice Address - Country:US
Practice Address - Phone:210-359-9100
Practice Address - Fax:210-333-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4577111N00000X
TX8225111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1235Medicare PIN
TX8F1236Medicare PIN
TX00561ZMedicare PIN