Basic Information
| Provider Information | |||||||||
| NPI: | 1952692675 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BANKSON | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9711 HUEBNER RD | ||||||||
| Address2: | BLDG 2 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782403164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124133131 | ||||||||
| FaxNumber: | 8663133397 | ||||||||
| Practice Location | |||||||||
| Address1: | 9711 HUEBNER RD | ||||||||
| Address2: | BLDG 2 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782403164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124133131 | ||||||||
| FaxNumber: | 8663133397 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2011 | ||||||||
| LastUpdateDate: | 02/04/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111NR0400X | 12006 | TX | Y | Chiropractic Providers | Chiropractor | Rehabilitation |
No ID Information.