Provider Demographics
NPI:1831133925
Name:CHRISTIE, WILLIAM PRESTON III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PRESTON
Last Name:CHRISTIE
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 S FLORES ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-2628
Mailing Address - Country:US
Mailing Address - Phone:210-924-2225
Mailing Address - Fax:210-924-6221
Practice Address - Street 1:6500 S FLORES ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-2628
Practice Address - Country:US
Practice Address - Phone:210-924-2225
Practice Address - Fax:210-924-6221
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX883621-02Medicaid
TX0883621-01Medicaid
TX883621-02Medicaid
TX603527Medicare PIN
TX601075Medicare PIN