Provider Demographics
NPI:1265942916
Name:AUTHORITY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:AUTHORITY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-343-5209
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:210-664-3773
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:210-664-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
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