| San Antonio State Hospital | |
|
6711 S New Braunfels Avenue Suite 100 San Antonio TX 78223-3005 | |
| (210) 531-7805 | |
| (210) 531-7796 |
| Full Name | San Antonio State Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 6711 S New Braunfels Avenue, San Antonio, Texas |
| Authorized Official Name and Position | Kristy Carr (ASSOCIATE COMMISSIONER) |
| Authorized Official Contact | 5128149642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio State Hospital 701 W 51st St Austin TX 78751-2312 Ph: (512) 438-5618 | San Antonio State Hospital 6711 S New Braunfels Avenue Suite 100 San Antonio TX 78223-3005 Ph: (210) 531-7805 |
| NPI Number | 1811907983 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811907983 | NPI | - | NPPES |
| 1387060-04 | Medicaid | TX | |
| 1387060-05 | Medicaid | TX | |
| 1387060-07 | Medicaid | TX | |
| HH3015 | Other | TX | BCBS DRUG/ALCOHOL |
| 0827974-01 | Medicaid | TX | |
| 4589012 | Other | TX | PHARMACY NCPDP NUMBER |
| HH4763 | Other | TX | BCBS PSYCHIATRIC |
| 1387060-06 | Medicaid | TX | |
| 0638264-01 | Medicaid | TX |
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