| Sjrc Texas, Inc. | |
|
1400 Ridge Creek Ln Bulverde TX 78163-2804 | |
| (210) 364-3972 | |
| (830) 885-4354 |
| Full Name | Sjrc Texas, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1400 Ridge Creek Ln, Bulverde, Texas |
| Authorized Official Name and Position | Carlye Dupart (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 2108766763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjrc Texas, Inc. 1400 Ridge Creek Ln Bulverde TX 78163-2804 Ph: (210) 876-6763 | Sjrc Texas, Inc. 1400 Ridge Creek Ln Bulverde TX 78163-2804 Ph: (210) 364-3972 |
| NPI Number | 1619394913 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619394913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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