Provider Demographics
NPI:1760686893
Name:DR PHILLIPS CHIROPRACTIC, NUTRITION & WELLNESS, P.A.
Entity Type:Organization
Organization Name:DR PHILLIPS CHIROPRACTIC, NUTRITION & WELLNESS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-545-1144
Mailing Address - Street 1:18227 APACHE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3606
Mailing Address - Country:US
Mailing Address - Phone:210-545-1144
Mailing Address - Fax:210-545-3686
Practice Address - Street 1:115 N. LOOP 1604 EAST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-545-1144
Practice Address - Fax:210-545-3686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty