# SCARIBUN PROFESSIONAL LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCARIBUN PSYCHIATRIC SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942041637
- **Authorized official:** MR. CHIKWELU CHRISTIAN UMEH NP (CEO)
- **Authorized official phone:** (443) 286-0257

## Contact information

- **Practice address:** 24527 MERLOT WAY, SAN ANTONIO, TX 78260-2625
- **Practice address phone:** (443) 286-0257
- **Practice address fax:** (210) 888-9299
- **Mailing address:** 24527 MERLOT WAY, SAN ANTONIO, TX 78260-2625
- **Mailing address phone:** (443) 286-0257
- **Mailing address fax:** (210) 888-9299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024