# UTHSCSA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629369954
- **Authorized official:** DR. CRAIG BRYAN PSYD (CLINICAL DIRECTOR)
- **Authorized official phone:** (210) 562-6725

## Contact information

- **Practice address:** 7550 W IH 10, SUITE 1325, SAN ANTONIO, TX 78229-5803
- **Practice address phone:** (210) 216-2659
- **Mailing address:** 7550 W IH 10, SUITE 1325, SAN ANTONIO, TX 78229-5803
- **Mailing address phone:** (210) 562-6702
- **Mailing address fax:** (210) 562-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 53927 | TX | Yes |

## Other

- **Enumeration date:** 04/20/2011
- **Last updated:** 04/20/2011