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Dr. Tim Peterson, Pllc
Chiropractor in San Antonio, Texas
NPI 1902391121

Dr. Tim Peterson, Pllc is a Chiropractor based in San Antonio, TX. Dr. Tim Peterson, Pllc practices in San Antonio, TX. The NPI Number for Dr. Tim Peterson, Pllc is 1902391121 and holds a License No. 7180 (Texas).

The current practice location address for Dr. Tim Peterson, Pllc is 4230 Gardendale St Ste 201, San Antonio, TX and can be reached out via phone at 210-691-2747 and via fax at 210-691-2872.

Location: 4230 Gardendale St Ste 201, San Antonio, TX, 78229-3476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902391121
Provider Name
Dr. Tim Peterson, Pllc
Credential
Provider Entity Type
Organization
Address
4230 Gardendale St Ste 201, San Antonio, TX, 78229-3476
Phone Number
210-691-2747
Fax Number
210-691-2872
Provider Enumeration Date
06/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548312382 01 TX INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
4230 Gardendale St Ste 201
City
San Antonio
State
Texas
Zip
78229-3476
Phone Number
210-691-2747
Fax Number
210-691-2872
person
Provider Business Mailing Address Details
Address
4230 Gardendale St Ste 201
City
San Antonio
State
Texas
Zip
78229-3476
Phone Number
210-691-2747
Fax Number
210-691-2872
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
7180 (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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