Provider Demographics
NPI:1629010863
Name:BRAMBLETT, JAMES WALTER II (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WALTER
Last Name:BRAMBLETT
Suffix:II
Gender:M
Credentials:DC
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Mailing Address - Street 1:2397 NW MILITARY HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2527
Mailing Address - Country:US
Mailing Address - Phone:210-342-3507
Mailing Address - Fax:210-342-5217
Practice Address - Street 1:2397 NW MILITARY HWY
Practice Address - Street 2:SUITE D
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2527
Practice Address - Country:US
Practice Address - Phone:210-342-3507
Practice Address - Fax:210-342-5217
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX9597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S1172OtherBLUE CROSS BLUE SHIELD ID
TX8S1172OtherBLUE CROSS BLUE SHIELD ID
V05918Medicare UPIN