Individual
KIRK COVERSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3305 81ST ST, STE H, LUBBOCK, TX 79423-2042
(713) 850-0049
(713) 850-0036
Mailing address
1010 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(713) 850-0049
(713) 850-0036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034175202
—
TX
01
—
87069A
BCBS
TX
Enumeration date
10/18/2006
Last updated
08/26/2019
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