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Contact Information

ACT PSYCHIATRIC GENETICS CENTER P.A.
84 NE LOOP 410
STE 140
SAN ANTONIO, TX78216-5860
 Phone: 210-344-0506
 Fax: 210-344-3512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ACT PSYCHIATRIC GENETICS CENTER P.A.

NPI # 1306020318
LBN Legal business name ACT PSYCHIATRIC GENETICS CENTER P.A.
Authorized official TERESITA BALDERAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2007
Last updated 09/08/2009 - About 17 years ago
Identifiers
TX License # L0757
TX Medicaid 151316001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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