Organization
OMNIPHASIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA ROSE TUSSAY (DIRECTOR)
(210) 822-6992
Entity
Organization
Contact information
Practice address
1354 BASSE RD, SUITE 5, SAN ANTONIO, TX 78212-1000
(210) 822-6992
(210) 822-6997
Mailing address
1354 BASSE RD, SUITE 5, SAN ANTONIO, TX 78212-1000
(210) 822-6992
(210) 822-6997
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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