Provider Demographics
NPI:1801640594
Name:GOOD CHIROPRACTIC
Entity type:Organization
Organization Name:GOOD CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MOYNICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAROTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-498-4100
Mailing Address - Street 1:8647 WURZBACH RD BLDG H
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1245
Mailing Address - Country:US
Mailing Address - Phone:210-641-6355
Mailing Address - Fax:
Practice Address - Street 1:8647 WURZBACH RD
Practice Address - Street 2:BUILDING H
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1245
Practice Address - Country:US
Practice Address - Phone:210-641-6355
Practice Address - Fax:210-641-7009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-17
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty