| Teresa Vasquez Serna | |
|
4811 Fredericksburg Rd Ste B San Antonio TX 78229-3751 | |
| (210) 789-4605 | |
| (210) 977-0263 |
| Full Name | Teresa Vasquez Serna |
|---|---|
| Speciality | Counselor |
| Location | 4811 Fredericksburg Rd Ste B, San Antonio, Texas |
| Authorized Official Name and Position | Teresa Vasquez Serna (OWNER/ LICENSED COUNSELOR) |
| Authorized Official Contact | 2107894605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Vasquez Serna 7308 George Burns St San Antonio TX 78240-2325 Ph: (210) 489-4605 | Teresa Vasquez Serna 4811 Fredericksburg Rd Ste B San Antonio TX 78229-3751 Ph: (210) 789-4605 |
| NPI Number | 1275217341 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 0648626879 |
|---|---|
| Medicare Enrollment ID | O20231220000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275217341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Teresa Vasquez Serna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114436813 PECOS PAC ID: 2668828898 Enrollment ID: I20231220000311 |
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