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Individual

DR. MANUEL E VARELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(305) 747-4609
Mailing address
7272 WURZBACH RD, SAN ANTONIO, TX 78240-4801
(305) 747-4609

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
10683
FL
103TC0700X
Clinical Psychologist
Primary
38473
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38473
LICENSE
TX
01
PY10683
LICENSE
FL
Enumeration date
02/18/2020
Last updated
03/30/2020
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