Provider Demographics
NPI:1740434323
Name:SAN ANTONIO MUA LLC
Entity type:Organization
Organization Name:SAN ANTONIO MUA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRAMBLETT
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:210-342-3507
Mailing Address - Street 1:2397 NW MILITARY HWY
Mailing Address - Street 2:STE. D
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2527
Mailing Address - Country:US
Mailing Address - Phone:210-342-3507
Mailing Address - Fax:210-342-5217
Practice Address - Street 1:2397 NW MILITARY HWY
Practice Address - Street 2:STE. D
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2527
Practice Address - Country:US
Practice Address - Phone:210-342-3507
Practice Address - Fax:210-342-5217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGOtherBCBS