| Phoenix Mental Health Tms Pllc | |
|
23119 W Interstate 10 Bldg 7 San Antonio TX 78257-1767 | |
| (210) 994-6336 | |
| (210) 994-6441 |
| Full Name | Phoenix Mental Health Tms Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23119 W Interstate 10 Bldg 7, San Antonio, Texas |
| Authorized Official Name and Position | Nathan Johnston (OWNER) |
| Authorized Official Contact | 2109946336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Mental Health Tms Pllc 23119 W Interstate 10 Bldg 7 San Antonio TX 78257-1767 Ph: (210) 994-6336 | Phoenix Mental Health Tms Pllc 23119 W Interstate 10 Bldg 7 San Antonio TX 78257-1767 Ph: (210) 994-6336 |
| NPI Number | 1215557152 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 8921439738 |
|---|---|
| Medicare Enrollment ID | O20200512000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215557152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nathan S Johnston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619232113 PECOS PAC ID: 7911283304 Enrollment ID: I20200512000791 |
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