| Autism Treatment Center Rehabilitation Agency | |
|
15911 Nacogdoches Rd San Antonio TX 78247-1107 | |
| (210) 599-7733 | |
| (210) 599-3105 |
| Full Name | Autism Treatment Center Rehabilitation Agency |
|---|---|
| Speciality | Clinic/Center |
| Location | 15911 Nacogdoches Rd, San Antonio, Texas |
| Authorized Official Name and Position | Anna Penn Hundley (PRESIDENT/CEO) |
| Authorized Official Contact | 9726442076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Treatment Center Rehabilitation Agency 10503 Metric Dr Dallas TX 75243-5514 Ph: (972) 644-2076 | Autism Treatment Center Rehabilitation Agency 15911 Nacogdoches Rd San Antonio TX 78247-1107 Ph: (210) 599-7733 |
| NPI Number | 1740207422 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 11/22/2010 |
| Medicare PECOS PAC ID | 4880617802 |
|---|---|
| Medicare Enrollment ID | O20060510000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740207422 | NPI | - | NPPES |
| 181437801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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