| Leonard R. Kajs, Pc | |
|
1978 Babcock Rd San Antonio TX 78229-4512 | |
| (210) 979-7100 | |
| (210) 979-7909 |
| Full Name | Leonard R. Kajs, Pc |
|---|---|
| Speciality | Counselor |
| Location | 1978 Babcock Rd, San Antonio, Texas |
| Authorized Official Name and Position | Leonard R. Kajs (PRESIDENT) |
| Authorized Official Contact | 2109797100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard R. Kajs, Pc 1978 Babcock Rd San Antonio TX 78229-4512 Ph: (210) 979-7100 | Leonard R. Kajs, Pc 1978 Babcock Rd San Antonio TX 78229-4512 Ph: (210) 979-7100 |
| NPI Number | 1376800755 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 07/17/2012 |
| Medicare PECOS PAC ID | 7517122914 |
|---|---|
| Medicare Enrollment ID | O20120710000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376800755 | NPI | - | NPPES |
| 108231502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 03262 (Texas) | Primary |
| Provider Name | Leonard R Kajs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477642593 PECOS PAC ID: 8426001819 Enrollment ID: I20050225000172 |
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