Organization
NEUROPSYCHOLOGICAL INSTITUTE OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANYNA MARIE MERCADO PH.D (OWNER)
(210) 860-9622
Entity
Organization
Contact information
Practice address
19016 STONE OAK PKWY BLDG I, SAN ANTONIO, TX 78258-3280
(210) 860-9622
(844) 404-6016
Mailing address
19016 STONE OAK PKWY BLDG I, SAN ANTONIO, TX 78258-3280
(210) 860-9622
(844) 404-6016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32917
LICENSE
TX
Enumeration date
12/18/2020
Last updated
12/18/2020
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