| Endeavors Health Services Board | |
|
6333 De Zavala Rd # A421 San Antonio TX 78249-2115 | |
| (210) 866-3660 | |
| (210) 877-9284 |
| Full Name | Endeavors Health Services Board |
|---|---|
| Speciality | Specialist |
| Location | 6333 De Zavala Rd # A421, San Antonio, Texas |
| Authorized Official Name and Position | Priti Mody-bailey (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2104316466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavors Health Services Board 6333 De Zavala Rd Ste A241 San Antonio TX 78249-2115 Ph: (210) 866-3860 | Endeavors Health Services Board 6333 De Zavala Rd # A421 San Antonio TX 78249-2115 Ph: (210) 866-3660 |
| NPI Number | 1457038721 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/16/2023 |
| Medicare PECOS PAC ID | 4587001987 |
|---|---|
| Medicare Enrollment ID | O20240321000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457038721 | NPI | - | NPPES |
| Provider Name | Kellie Andes Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043205883 PECOS PAC ID: 6507231503 Enrollment ID: I20230405000253 |
| Provider Name | Sabrina Concepcion Lozano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912699448 PECOS PAC ID: 5799148979 Enrollment ID: I20230906001233 |
| Provider Name | Teresa Anne Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275217465 PECOS PAC ID: 0143666537 Enrollment ID: I20240307002291 |
| Provider Name | Alicia J Acosta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972908614 PECOS PAC ID: 9436595881 Enrollment ID: I20240308000252 |
| Provider Name | Rosanna Camarena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598330631 PECOS PAC ID: 4880040740 Enrollment ID: I20240322001249 |
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