Provider Demographics
NPI:1861677510
Name:SAN ANTONIO ACCIDENT AND INJURY CARE
Entity Type:Organization
Organization Name:SAN ANTONIO ACCIDENT AND INJURY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MONSALVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-347-0408
Mailing Address - Street 1:1550 NE LOOP 410
Mailing Address - Street 2:STE. 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1610
Mailing Address - Country:US
Mailing Address - Phone:210-223-9797
Mailing Address - Fax:210-223-9733
Practice Address - Street 1:1550 NE LOOP 410
Practice Address - Street 2:STE. 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1610
Practice Address - Country:US
Practice Address - Phone:210-223-9797
Practice Address - Fax:210-223-9733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC#8088111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty