| Fact | |
|
3740 Colony Dr Ste 170 San Antonio TX 78230-2234 | |
| (210) 818-1707 | |
| (210) 641-2940 |
| Full Name | Fact |
|---|---|
| Speciality | Counselor |
| Location | 3740 Colony Dr, San Antonio, Texas |
| Authorized Official Name and Position | Diane Marie Layne (TREASURER/OFFICE MANAGER) |
| Authorized Official Contact | 2108181707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fact 3740 Colony Dr Ste 170 San Antonio TX 78230-2234 Ph: (210) 818-1707 | Fact 3740 Colony Dr Ste 170 San Antonio TX 78230-2234 Ph: (210) 818-1707 |
| NPI Number | 1235522830 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235522830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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