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Organization

R. P. YURCHESHEN, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD PAUL YURCHESHEN PH.D. (PRESIDENT)
(210) 734-6668
Entity
Organization

Contact information

Practice address
6391 DE ZAVALA RD, STE 203C, SAN ANTONIO, TX 78249-2143
(210) 734-6668
(210) 734-6660
Mailing address
6391 DE ZAVALA RD STE 203C, SAN ANTONIO, TX 78249-2159
(210) 734-6668
(210) 734-6660

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21782
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00JC51
BCBS
TX
05
0341463-01
TX
01
27739900
TRICARE
TX
Enumeration date
01/08/2007
Last updated
06/23/2008
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