| Spa Education Enterprise Resources | |
|
5282 Medical Drive Ste. 140 San Antonio TX 78254 | |
| (210) 385-6459 | |
| (210) 231-0658 |
| Full Name | Spa Education Enterprise Resources |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5282 Medical Drive, San Antonio, Texas |
| Authorized Official Name and Position | Alicia Garcia (CEO) |
| Authorized Official Contact | 2103856459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Education Enterprise Resources 12439 Stillwater Crk San Antonio TX 78254 Ph: (210) 385-6459 | Spa Education Enterprise Resources 5282 Medical Drive Ste. 140 San Antonio TX 78254 Ph: (210) 385-6459 |
| NPI Number | 1871877290 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871877290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 60445 (Texas) | Primary |
| 302F00000X | Exclusive Provider Organization | 60445 (Texas) | Secondary |
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