Organization
CLINICAL NEUROPSYCHOLOGY OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN O'ROURKE PH.D. ABPP-CN (OWNER / NEUROPSYCHOLOGIST)
(800) 291-1644
Entity
Organization
Contact information
Practice address
9643 HUEBNER RD STE 103, SAN ANTONIO, TX 78240-1752
(800) 291-1644
(210) 855-3988
Mailing address
9643 HUEBNER RD STE 103, SAN ANTONIO, TX 78240-1752
(800) 291-1644
(210) 855-3988
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36901
TX
103T00000X
Psychologist
36901
TX
Other
Enumeration date
08/04/2015
Last updated
09/08/2020
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