Organization
IKARE MOOD TRAUMA RECOVERY CLINIC
Active
Organization
IKARE MOOD TRAUMA RECOVERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRA SHAH PHARMD (CHIEF OPERATING OFFICER)
(267) 210-8357
Entity
Organization
Contact information
Practice address
8401 DATAPOINT DR STE 900, SAN ANTONIO, TX 78229-5385
(210) 301-0125
(844) 965-9528
Mailing address
8401 DATAPOINT DR STE 900, SAN ANTONIO, TX 78229-5385
(210) 301-0125
(844) 965-9528
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q4829
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP129429
TX
Other
Enumeration date
08/24/2016
Last updated
05/05/2021
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