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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