Whalio Doctors

NPI 1568738763

South Texas Neurobehavioral Group LLC

Organisation Clinical Neuropsychologist San Antonio, TX

Practice location

Address
3603 Paesanos Pkwy Suite 300, San Antonio, TX 78231-1267
Phone
(210) 614-3011
Fax
(210) 615-6906
Mailing address
PO Box 782087, San Antonio, TX 78278-2087

Authorised official

Name
Douglas B. Cooper
Title
President
Phone
(210) 241-2555

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 32263 (TX)

Registry record

NPI
1568738763
Entity type
Organization
NPI issued
2 Apr 2012
Record last updated
2 Apr 2012

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.