| Cantera Psychiatry | |
|
85 Ne Loop 410 Ste 420 San Antonio TX 78216-5836 | |
| (210) 960-4352 | |
| (833) 471-4781 |
| Full Name | Cantera Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 85 Ne Loop 410 Ste 420, San Antonio, Texas |
| Authorized Official Name and Position | Abigail Hernandez (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2109604352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cantera Psychiatry 85 Ne Loop 410 Ste 420 San Antonio TX 78216-5836 Ph: (210) 960-4352 | Cantera Psychiatry 85 Ne Loop 410 Ste 420 San Antonio TX 78216-5836 Ph: (210) 960-4352 |
| NPI Number | 1629435110 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 1456640325 |
|---|---|
| Medicare Enrollment ID | O20160516001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629435110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | Q2556 (Texas) | Primary |
| Provider Name | Sarah Luree Ansbro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063702637 PECOS PAC ID: 6305151390 Enrollment ID: I20150820009920 |
| Provider Name | Britanni O Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225643968 PECOS PAC ID: 1153717756 Enrollment ID: I20220407001796 |
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