Organization
PSYCHIATRIC INPATIENT MANAGEMENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA S. CLOUD (VICE PRESIDENT)
(210) 575-8501
Entity
Organization
Contact information
Practice address
8026 FLOYD CURL DR, SAN ANTONIO, TX 78229-3915
(210) 575-8229
(210) 575-4013
Mailing address
7711 LOUIS PASTEUR DR, SUITE 708, SAN ANTONIO, TX 78229-3415
(210) 575-8229
(210) 575-4013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053WN
BCBS
TX
Enumeration date
04/05/2011
Last updated
07/27/2011
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