Basic Information
| Provider Information | |||||||||
| NPI: | 1699157248 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RANSTADLER | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | FRANCES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DC, LMT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 911 CENTRAL PKWY N STE 300 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782325053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004046050 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3400 BISSONNET ST STE 220 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770052100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004046050 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2015 | ||||||||
| LastUpdateDate: | 12/19/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225700000X | 0019014543 | VA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 111N00000X | 13888 | TX | Y | Chiropractic Providers | Chiropractor | 111NR0400X | 0104557354 | VA | N | Chiropractic Providers | Chiropractor | Rehabilitation | 225700000X | 9041 | SC | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
ID Information
| ID | Type | State | Issuer | Description | 13888 | 01 | TX | TEXAS BOARD OF CHIROPRACTIC | OTHER |