| Grace Psychiatric Clinic | |
|
5282 Medical Dr Ste 605 San Antonio TX 78229-6114 | |
| (551) 388-6392 | |
| (210) 444-2171 |
| Full Name | Grace Psychiatric Clinic |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5282 Medical Dr Ste 605, San Antonio, Texas |
| Authorized Official Name and Position | Oluseun Adesola Akintunlaji, (PRESIDENT) |
| Authorized Official Contact | 5513886392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Psychiatric Clinic 720 Snowy Orchid Ln Desoto TX 75115-6691 Ph: (551) 388-6392 | Grace Psychiatric Clinic 5282 Medical Dr Ste 605 San Antonio TX 78229-6114 Ph: (551) 388-6392 |
| NPI Number | 1851061071 |
|---|---|
| Provider Enumeration Date | 09/18/2021 |
| Last Update Date | 09/18/2021 |
| Certification Date | 09/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851061071 | NPI | - | NPPES |
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