Organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA AWAGU (OPERATIONS ADMINISTRATOR)
(210) 686-6318
Entity
Organization
Contact information
Practice address
7666 BANDERA RD, SAN ANTONIO, TX 78238-1262
(210) 686-6318
(888) 730-7347
Mailing address
5500 WALZEM RD, WINDCREST, TX 78218-2103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/22/2025
Last updated
10/15/2025
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