NPI 1003361635

Ikare Mood Trauma Recovery Clinic

Organisation Psychiatry Physician San Antonio, TX

Practice location

Address: 8401 Datapoint Dr STE 900, San Antonio, TX 78229-5385
Phone: (210) 301-0125
Fax: (844) 965-9528

Authorised official

Name: Ravindra Shah
Title: Chief Operating Officer
Phone: (267) 210-8357

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence Q4829 (TX)

Other Psychiatry & Neurology providers in Texas →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence AP129429 (TX)

Other Nurse Practitioner providers in Texas →

Registry record

NPI: 1003361635
Entity type: Organization
NPI issued: 24 Aug 2016
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.