Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 12079 | TX |
NPI | 1346503547 |
---|---|
Provider Name | Dr. Ian Veary |
First Address | San Antonio, TX 78232-5052 |
Second Address | San Antonio, TX 78232-5052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 08/08/2013 |