| Deer Oaks Arkansas, Llc | |
|
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 | |
| (888) 365-6271 | |
| (210) 593-9863 |
| Full Name | Deer Oaks Arkansas, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7272 Wurzbach Rd, San Antonio, Texas |
| Authorized Official Name and Position | Paul Alan Boskind (CEO) |
| Authorized Official Contact | 8883656271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Arkansas, Llc 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (888) 365-6271 | Deer Oaks Arkansas, Llc 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (888) 365-6271 |
| NPI Number | 1235393380 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9638232622 |
|---|---|
| Medicare Enrollment ID | O20090119000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235393380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessie A Benham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184878159 PECOS PAC ID: 3577544956 Enrollment ID: I20040601000601 |
| Provider Name | Kamra E Mays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073734919 PECOS PAC ID: 4385667831 Enrollment ID: I20060110001120 |
| Provider Name | Jacquelyn P Bearden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043373616 PECOS PAC ID: 9537251319 Enrollment ID: I20070824000209 |
| Provider Name | Marilyn C Pennington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386810448 PECOS PAC ID: 8022186931 Enrollment ID: I20081006000219 |
| Provider Name | Catherine L Coon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093722415 PECOS PAC ID: 8921165424 Enrollment ID: I20090327000506 |
| Provider Name | Brandy L Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659431187 PECOS PAC ID: 6002113479 Enrollment ID: I20160330000669 |
| Provider Name | Laura Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285022640 PECOS PAC ID: 2264848696 Enrollment ID: I20210310001725 |
| Provider Name | Randal Sean Voss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518362110 PECOS PAC ID: 9234485160 Enrollment ID: I20230830002262 |
| Provider Name | April Natasha Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568774610 PECOS PAC ID: 1557706801 Enrollment ID: I20240227002121 |
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