| South Texas Neuropsychological Associates Pllc | |
|
3603 Paesanos Pkwy Ste 300a San Antonio TX 78231-1267 | |
| (210) 614-3011 | |
| (210) 615-6906 |
| Full Name | South Texas Neuropsychological Associates Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3603 Paesanos Pkwy, San Antonio, Texas |
| Authorized Official Name and Position | Gilbert Martinez Ph.d (PRESIDENT) |
| Authorized Official Contact | 2106143011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Neuropsychological Associates Pllc 3603 Paesanos Pkwy Ste 300a San Antonio TX 78231-1267 Ph: (210) 614-3011 | South Texas Neuropsychological Associates Pllc 3603 Paesanos Pkwy Ste 300a San Antonio TX 78231-1267 Ph: (210) 614-3011 |
| NPI Number | 1003130543 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Medicare PECOS PAC ID | 3971785379 |
|---|---|
| Medicare Enrollment ID | O20110307000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003130543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 30743 (Texas) | Primary |
| Provider Name | Gilbert Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407971138 PECOS PAC ID: 8123200524 Enrollment ID: I20110307000446 |
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