| Fuqua Psychiatric Consulting, Pllc | |
|
8000 W Ih 10 Ste 1500 San Antonio TX 78230-3883 | |
| (210) 201-2241 | |
| (210) 756-5125 |
| Full Name | Fuqua Psychiatric Consulting, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8000 W Ih 10 Ste 1500, San Antonio, Texas |
| Authorized Official Name and Position | James Travis Fuqua (MANAGER) |
| Authorized Official Contact | 2102012241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuqua Psychiatric Consulting, Pllc 8000 W Ih 10 Ste 1500 San Antonio TX 78230-3883 Ph: (210) 201-2241 | Fuqua Psychiatric Consulting, Pllc 8000 W Ih 10 Ste 1500 San Antonio TX 78230-3883 Ph: (210) 201-2241 |
| NPI Number | 1639804313 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 9830540962 |
|---|---|
| Medicare Enrollment ID | O20240112001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639804313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nicole Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063918449 PECOS PAC ID: 7012391907 Enrollment ID: I20220825003775 |
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