Provider Demographics
NPI:1922256932
Name:ACCIDENT BENEFIT CLINICS LLC
Entity Type:Organization
Organization Name:ACCIDENT BENEFIT CLINICS LLC
Other - Org Name:ABC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELIFE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-684-1600
Mailing Address - Street 1:5835 CALLAGHAN RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1125
Mailing Address - Country:US
Mailing Address - Phone:210-684-1600
Mailing Address - Fax:210-684-1601
Practice Address - Street 1:5835 CALLAGHAN RD
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1125
Practice Address - Country:US
Practice Address - Phone:210-684-1600
Practice Address - Fax:210-684-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF007340111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty