Organization
SAGATA THERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WURTH (SECRETARY)
(210) 973-2400
Entity
Organization
Contact information
Practice address
9215 RAINBOW CRK, SAN ANTONIO, TX 78245-1481
(210) 620-7700
Mailing address
9215 RAINBOW CRK, SAN ANTONIO, TX 78245-1481
(210) 620-7700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12744
TX
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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