Patricia Leaver, PHD | |
433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829 | |
(210) 566-1280 | |
(210) 579-8533 |
Full Name | Patricia Leaver |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 433 Kitty Hawk Rd Ste 219, Universal City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336806595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 77835 (Texas) | Primary |
Entity Name | Alba Wellness Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891033577 PECOS PAC ID: 5092070789 Enrollment ID: O20180530001478 |
Mailing Address | Practice Location Address |
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Patricia Leaver, PHD 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829 Ph: (210) 566-1280 | Patricia Leaver, PHD 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148-3829 Ph: (210) 566-1280 |
Marina Jimenez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533 | |
Valerie L Mendoza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-846-1343 | |
Ruth M Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8722 Phoenix Ave, Universal City, TX 78148 Phone: 726-203-5429 | |
Brandi Dawn Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Pat Booker Rd Ste 208, Universal City, TX 78148 Phone: 830-570-9979 | |
Ms. Lawanda Jeannete Fennell, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Pat Booker Rd Ste 204, Universal City, TX 78148 Phone: 210-834-5017 Fax: 210-855-0931 | |
Mrs. Jacqueline Annette Tobar-lax, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Universal City, TX 78148 Phone: 210-549-1704 | |
Ms. Gladys Cisneros, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Suite 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533 |