Organization
CEREBELLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH TREVINO (RECEPTIONIST/ADMIN)
(210) 696-9292
Entity
Organization
Contact information
Practice address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Mailing address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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