Larry M Fenton in San Antonio - Chiropractor

Larry M Fenton - NPI 1679598106

Larry M Fenton is a Chiropractor in San Antonio, Texas. Larry M Fenton practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry M Fenton is 1679598106. The last update date is 2008-06-19.

Larry M Fenton's current location address is 3740 Colony Dr, San Antonio, Texas. You can contact this provider via phone number 2106998153 and fax number 2106998299. The mailing address for Larry M Fenton is 3740 Colony Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry M Fenton
Address 3740 Colony Dr, San Antonio, Texas
Phone Number 2106998153
Fax Number 2106998299
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1679598106
Provider Enumeration Date 2006-07-13
Last Updated Date 2008-06-19

Provider Mailing Address Detail

Address 3740 Colony Dr
City San Antonio
State Texas (TX)
Post Code 782302234
Phone Number 2106998153
Fax Number 2106998299

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 8684
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8S5430 TX BLUE CROSS BLUE SHIELD

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FAQs about Larry M Fenton

What is the Larry M Fenton's unique identification number?

The Larry M Fenton has been assigned the NPI (National Provider Identifier) Number 1679598106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Larry M Fenton is located?

The Larry M Fenton is situated at the following address: 3740 Colony Dr, San Antonio, TX, 782302234.

What is the Larry M Fenton's area of specialization and corresponding taxonomy classification?

The Larry M Fenton's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Larry M Fenton receive its 1679598106 assignment from the Centers for Medicare & Medicaid Services?

The Larry M Fenton was assigned its 1679598106 by the Centers for Medicare & Medicaid Services on 2006-07-13.

When was the information pertaining to Larry M Fenton most recently updated or revised?

The details related to Larry M Fenton, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-19.

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