Organization
NEUROPSYCHOLOGICAL INSTITUTE OF SAN ANTONIO PLLC
Active
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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