| University Of Texas Health Science Center San Antonio | |
|
36000 Darnall Loop # 47 Room 1417 Fort Hood TX 76544-5095 | |
| (254) 288-1638 | |
| Not Available |
| Full Name | University Of Texas Health Science Center San Antonio |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 36000 Darnall Loop # 47, Fort Hood, Texas |
| Authorized Official Name and Position | Susan Diann Paschall (INDEPENDENT EVALUATOR) |
| Authorized Official Contact | 2145777815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Texas Health Science Center San Antonio 36000 Darnall Loop # 47 Room 1417 Fort Hood TX 76544-5095 Ph: (254) 288-1638 | University Of Texas Health Science Center San Antonio 36000 Darnall Loop # 47 Room 1417 Fort Hood TX 76544-5095 Ph: (254) 288-1638 |
| NPI Number | 1336416445 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336416445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |