| N Otoupal, Pllc | |
|
102 Wonder World Dr # 304-146 San Marcos TX 78666-6076 | |
| (719) 501-3337 | |
| Not Available |
| Full Name | N Otoupal, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 102 Wonder World Dr # 304-146, San Marcos, Texas |
| Authorized Official Name and Position | Nan Otoupal (SOLE MEMBER) |
| Authorized Official Contact | 7195013337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N Otoupal, Pllc 102 Wonder World Dr # 304-146 San Marcos TX 78666-6076 Ph: (719) 501-3337 | N Otoupal, Pllc 102 Wonder World Dr # 304-146 San Marcos TX 78666-6076 Ph: (719) 501-3337 |
| NPI Number | 1992138283 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992138283 | NPI | - | NPPES |
| 329161901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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