| Deer Oaks Behavioral Health Pa | |
|
7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 | |
| (210) 615-3483 | |
| Not Available |
| Full Name | Deer Oaks Behavioral Health Pa |
|---|---|
| Speciality | Psychologist |
| Location | 7272 Wurzbach Rd Ste 601, San Antonio, Texas |
| Authorized Official Name and Position | Aaron Ashley Brown (PRESIDENT AND OWNER) |
| Authorized Official Contact | 2106153483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Behavioral Health Pa 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: () - | Deer Oaks Behavioral Health Pa 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (210) 615-3483 |
| NPI Number | 1548097793 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 2860927431 |
|---|---|
| Medicare Enrollment ID | O20241120001479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548097793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Lana Vy Rickey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497801831 PECOS PAC ID: 5597986505 Enrollment ID: I20240905003599 |
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