Justin Gaston Ingram is a professional counselor in San Antonio, TX. Justin Gaston Ingram NPI is 1598117038. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX
ZIP 78213-293
Phone: (210) 261-1060
Fax: (210) 261-1821
The NPI 1598117038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 7/8/2016 and was last updated on 11/2/2023.