Provider Demographics
NPI:1427232958
Name:KLEIN, CHAD MATTHEW (DC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:MATTHEW
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 E RAMSEY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4660
Mailing Address - Country:US
Mailing Address - Phone:210-545-7900
Mailing Address - Fax:866-902-8681
Practice Address - Street 1:518 E RAMSEY RD
Practice Address - Street 2:STE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4660
Practice Address - Country:US
Practice Address - Phone:210-545-7900
Practice Address - Fax:866-902-8681
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9619111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology