Organization
SOUTH TEXAS NEUROBEHAVIORAL GROUP LLC
Active
Organization
SOUTH TEXAS NEUROBEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS B. COOPER PHD (PRESIDENT)
(210) 241-2555
Entity
Organization
Contact information
Practice address
3603 PAESANOS PKWY, SUITE 300, SAN ANTONIO, TX 78231-1267
(210) 614-3011
(210) 615-6906
Mailing address
PO BOX 782087, SAN ANTONIO, TX 78278-2087
(210) 241-2555
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32263
TX
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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