Organization
WAGGONER & THOMAS ALLCARE, INC
Active
Other names
Mother-Child Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA E TREVINO LMSW (DIRECTOR)
(210) 745-3940
Entity
Organization
Contact information
Practice address
4100 E PIEDRAS DR, SUITE 205, SAN ANTONIO, TX 78228-1401
(210) 745-3940
(210) 745-3938
Mailing address
4100 E PIEDRAS DR, SUITE 205, SAN ANTONIO, TX 78228-1401
(210) 745-3940
(210) 745-3938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
35553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
TX
Enumeration date
02/26/2007
Last updated
08/22/2020
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