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Larry M Fenton JR., DC
Chiropractor in San Antonio, Texas
NPI 1679598106

Larry M Fenton JR. is a Chiropractor based in San Antonio, TX. Larry M Fenton JR. practices in San Antonio, TX and has the professional credentials of DC. The NPI Number for Larry M Fenton JR. is 1679598106 and holds a License No. 8684 (Texas).

The current practice location address for Larry M Fenton JR. is 3740 Colony Dr, San Antonio, TX and can be reached out via phone at 210-699-8153 and via fax at 210-699-8299.

Location: 3740 Colony Dr, San Antonio, TX, 78230-2234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679598106
Provider Name
Larry M Fenton JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3740 Colony Dr, San Antonio, TX, 78230-2234
Phone Number
210-699-8153
Fax Number
210-699-8299
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8S5430 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3740 Colony Dr
City
San Antonio
State
Texas
Zip
78230-2234
Phone Number
210-699-8153
Fax Number
210-699-8299
person
Provider Business Mailing Address Details
Address
3740 Colony Dr
City
San Antonio
State
Texas
Zip
78230-2234
Phone Number
210-699-8153
Fax Number
210-699-8299
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
8684 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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