| R. P. Yurcheshen, Ph.d., P.c. | |
|
6391 De Zavala Rd Ste 203c San Antonio TX 78249-2143 | |
| (210) 734-6668 | |
| (210) 734-6660 |
| Full Name | R. P. Yurcheshen, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 6391 De Zavala Rd, San Antonio, Texas |
| Authorized Official Name and Position | Richard Paul Yurcheshen (PRESIDENT) |
| Authorized Official Contact | 2107346668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. P. Yurcheshen, Ph.d., P.c. 6391 De Zavala Rd Ste 203c San Antonio TX 78249-2159 Ph: (210) 734-6668 | R. P. Yurcheshen, Ph.d., P.c. 6391 De Zavala Rd Ste 203c San Antonio TX 78249-2143 Ph: (210) 734-6668 |
| NPI Number | 1063560654 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 3274794904 |
|---|---|
| Medicare Enrollment ID | O20120405000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063560654 | NPI | - | NPPES |
| 00JC51 | Other | TX | BCBS |
| 0341463-01 | Medicaid | TX | |
| 27739900 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 21782 (Texas) | Primary |
| Provider Name | Richard Yurcheshen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104974773 PECOS PAC ID: 7517128242 Enrollment ID: I20120405000417 |
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