Individual provider · Type 1 NPI

Broderrick Darrell Koolman, D.C

Chiropractor · San Antonio, TX

NPI number 1972512424 Active

Practice location

1213 Basse Rd
San Antonio, TX 78212-1007

Fax (210) 735-3823

Mailing address

PO Box 34722
San Antonio, TX 78265-4722

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC5620 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1972512424

Broderrick Darrell Koolman, D.C's National Provider Identifier is 1972512424, issued on Aug 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.