Provider Demographics
NPI:1184140485
Name:WOERNER, THOR CORD (DC)
Entity type:Individual
Prefix:DR
First Name:THOR
Middle Name:CORD
Last Name:WOERNER
Suffix:
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 1:434 N LOOP 1604 W STE 2104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1374
Mailing Address - Country:US
Mailing Address - Phone:210-343-5209
Mailing Address - Fax:
Practice Address - Street 1:434 N LOOP 1604 W STE 2104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1374
Practice Address - Country:US
Practice Address - Phone:210-343-5209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty