Provider Demographics
NPI:1912210592
Name:SAN ANTONIO FAMILY ALTERNATIVE MEDICINE
Entity Type:Organization
Organization Name:SAN ANTONIO FAMILY ALTERNATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-340-2150
Mailing Address - Street 1:1931 NW MILITARY HWY
Mailing Address - Street 2:STE 204
Mailing Address - City:CASTLE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2153
Mailing Address - Country:US
Mailing Address - Phone:210-340-2150
Mailing Address - Fax:210-428-6428
Practice Address - Street 1:1931 NW MILITARY HWY
Practice Address - Street 2:STE 204
Practice Address - City:CASTLE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78213-2153
Practice Address - Country:US
Practice Address - Phone:210-340-2150
Practice Address - Fax:210-428-6428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11442111N00000X, 111NN0400X, 111NP0017X, 111NR0400X
TX11441111NI0900X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty