NPI | 1992921019 |
---|---|
Doing Business As | SOUTH TEXAS BEHAVIORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | DIANE PENA Office Manager 210-699-8881 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 22545) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1884) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2022-07-21 |