Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 8225 | TX |
Y | 111NN0400X | Neurology | 8225 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 8225 | TX |
NPI | 1356445092 |
---|---|
Provider Name | Dr. Michael Martin Stelzer |
First Address | San Antonio, TX 78216-5519 |
Second Address | San Antonio, TX 78216-5519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 26/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8B2221 | BCBS PROVIDER NUMBER (01) | TX |
U43837 | (02) | TX |