Individual
DR. STEVEN E PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Mailing address
7272 WURZBACH RD, SUITE 601, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36189
LICENSE
TX
Enumeration date
11/30/2012
Last updated
11/30/2012
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