| Deer Oaks Minnesota Llc | |
|
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 | |
| (210) 615-3405 | |
| (210) 593-9863 |
| Full Name | Deer Oaks Minnesota Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7272 Wurzbach Rd, San Antonio, Texas |
| Authorized Official Name and Position | Paul Alan Boskind (CEO) |
| Authorized Official Contact | 2106158880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Minnesota Llc 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (210) 615-3405 | Deer Oaks Minnesota Llc 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (210) 615-3405 |
| NPI Number | 1609158872 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 0840467684 |
|---|---|
| Medicare Enrollment ID | O20120119000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609158872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca R Hinderscheid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427156066 PECOS PAC ID: 3274592100 Enrollment ID: I20041006001343 |
| Provider Name | Barbara J Zaeska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578574323 PECOS PAC ID: 6608895008 Enrollment ID: I20051115000693 |
| Provider Name | Claudia V Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518143999 PECOS PAC ID: 8022154996 Enrollment ID: I20091006000724 |
| Provider Name | Kay Ann Kinkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639588437 PECOS PAC ID: 6709212731 Enrollment ID: I20200211001609 |
| Provider Name | Lisa Lind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831268556 PECOS PAC ID: 7012991763 Enrollment ID: I20231127000892 |
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