Judith E. Craig, Ph.d., Pc | |
147 W Sunset Rd Suite 101 San Antonio TX 78209-2632 | |
(210) 824-3391 | |
(210) 828-2873 |
Full Name | Judith E. Craig, Ph.d., Pc |
---|---|
Speciality | Psychologist |
Location | 147 W Sunset Rd, San Antonio, Texas |
Authorized Official Name and Position | Judith E. Craig (PRESIDENT) |
Authorized Official Contact | 2108243391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Judith E. Craig, Ph.d., Pc 147 W Sunset Rd Ste. 101 San Antonio TX 78209-2632 Ph: (210) 824-3391 | Judith E. Craig, Ph.d., Pc 147 W Sunset Rd Suite 101 San Antonio TX 78209-2632 Ph: (210) 824-3391 |
NPI Number | 1043486525 |
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Provider Enumeration Date | 05/05/2008 |
Last Update Date | 07/06/2010 |
Medicare PECOS PAC ID | 0749189579 |
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Medicare Enrollment ID | O20031231000245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043486525 | NPI | - | NPPES |
1023119823 | Other | TX | NPI INDIVIDUAL |
00913V | Other | TX | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20806 (Texas) | Primary |
Provider Name | Judith E Craig |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023119823 PECOS PAC ID: 5991604720 Enrollment ID: I20031231000264 |
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