Organization
ADULT PARENT FAMILY CHILD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK B HARRIS LCSW (OWNER/PROVIDER)
(210) 979-9437
Entity
Organization
Contact information
Practice address
8400 BLANCO RD, SUITE 206, SAN ANTONIO, TX 78216-3055
(210) 979-9437
(210) 979-9839
Mailing address
8400 BLANCO RD, SUITE 206, SAN ANTONIO, TX 78216-3055
(210) 979-9437
(210) 979-9839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00790H
BLUE CROSS BLUE SHIELD
TX
05
—
102864904
—
TX
01
—
4935407850000
TRICARE
TX
Enumeration date
04/30/2012
Last updated
04/30/2012
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