Provider Demographics
NPI:1760192074
Name:GIVE BACK HEALTH & WELLNESS
Entity Type:Organization
Organization Name:GIVE BACK HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-517-0418
Mailing Address - Street 1:7418 JOHN SMITH DR STE 219
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6019
Mailing Address - Country:US
Mailing Address - Phone:210-801-1441
Mailing Address - Fax:210-998-2500
Practice Address - Street 1:7418 JOHN SMITH DR STE 219
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6020
Practice Address - Country:US
Practice Address - Phone:210-517-0418
Practice Address - Fax:210-998-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty