Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 7984 | TX |
NPI | 1427274554 |
---|---|
Provider Name | Dr. Joe A. Hester |
First Address | San Antonio, TX 78232-2819 |
Second Address | San Antonio, TX 78214-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |