| Klarisana | |
|
6335 Camp Bullis Rd San Antonio TX 78257-9720 | |
| (210) 556-1430 | |
| (888) 504-2390 |
| Full Name | Klarisana |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6335 Camp Bullis Rd, San Antonio, Texas |
| Authorized Official Name and Position | Carl J Bonnett (OWNER) |
| Authorized Official Contact | 2105561430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klarisana 6335 Camp Bullis Rd San Antonio TX 78257-9720 Ph: (210) 556-1430 | Klarisana 6335 Camp Bullis Rd San Antonio TX 78257-9720 Ph: (210) 556-1430 |
| NPI Number | 1477909208 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477909208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 59198 (Texas) | Primary |
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