| Pat L Pastors | |
|
3131 Executive Dr San Angelo TX 76904-6801 | |
| (325) 234-5164 | |
| (325) 610-6122 |
| Full Name | Pat L Pastors |
|---|---|
| Speciality | Counselor |
| Location | 3131 Executive Dr, San Angelo, Texas |
| Authorized Official Name and Position | Patricia L. Pastors (OWNER) |
| Authorized Official Contact | 3252345164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pat L Pastors 3201 Sierra Dr San Angelo TX 76904-6935 Ph: (325) 234-5164 | Pat L Pastors 3131 Executive Dr San Angelo TX 76904-6801 Ph: (325) 234-5164 |
| NPI Number | 1144069964 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 5991247504 |
|---|---|
| Medicare Enrollment ID | O20240611003188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144069964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Patricia L Pastors |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750874657 PECOS PAC ID: 6800338419 Enrollment ID: I20240611003329 |
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