Individual
MR. RAFAEL ANGEL SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
(830) 672-6430
Mailing address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
(830) 672-6430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32524
ST. BD. OF EXAM OF PSY
TX
Enumeration date
08/16/2006
Last updated
07/08/2007
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