Organization
DSG CLINICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STEVEN GENAC PH.D. (LICENSED PSYCHOLOGIST/OWNER)
(713) 899-3769
Entity
Organization
Contact information
Practice address
1712 FAIRVIEW ST, HOUSTON, TX 77006-1967
(713) 899-3769
Mailing address
1712 FAIRVIEW ST, HOUSTON, TX 77006-1967
(713) 899-3769
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211680801
—
TX
05
—
211680802
—
TX
Enumeration date
01/10/2011
Last updated
04/28/2011
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