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SOUTHWEST PSYCHIATRIC PHYSICIANS NPI 1639286370


NPI Information

NPI: 1639286370
Provider Name: SOUTHWEST PSYCHIATRIC PHYSICIANS
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 45D0660452

Address:
8535 TOM SLICK
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 582-6440
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SOUTHWEST PSYCHIATRIC PHYSICIANS is a child and adolescent psychiatry psychiatry neurology in San Antonio, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SOUTHWEST PSYCHIATRIC PHYSICIANS NPI is 1639286370. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8535 TOM SLICK
SAN ANTONIO, TX
ZIP 78229-367
Phone: (210) 582-6440
Fax: (210) 692-9021

The provider's authorized official is Corey M Hough .
The authorized official title is President and has the following contact phone number (210) 582-6440.

The CLIA number assigned to this NPI record is 45D0660452 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 3/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3363LF0000XNurse PractitionerFamilyNo
4363LP0200XNurse PractitionerPediatricsNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6363LP2300XNurse PractitionerPrimary CareNo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1084178501MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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