| Tlg | |
|
16170 Jones Maltsberger Rd Ste 108109 San Antonio TX 78247-3202 | |
| (210) 316-3799 | |
| (210) 349-9983 |
| Full Name | Tlg |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 16170 Jones Maltsberger Rd Ste 108109, San Antonio, Texas |
| Authorized Official Name and Position | Denise Y Johnson (DIRECTOR OF CLIENT SERVICES) |
| Authorized Official Contact | 2103163799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlg 16170 Jones Maltsberger Rd Ste 108109 San Antonio TX 78247-3202 Ph: (210) 316-3799 | Tlg 16170 Jones Maltsberger Rd Ste 108109 San Antonio TX 78247-3202 Ph: (210) 316-3799 |
| NPI Number | 1053664664 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053664664 | NPI | - | NPPES |
| 149705901 | Medicaid | TX |
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