| NPI | 1689928186 |
|---|---|
| Other Name | TPACS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KIMBALL Manager 210-233-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34699) |
| 103TC0700X Psychologist, Clinical (Licence: TX 34699) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 34699) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2020-06-19 |