Organization
GOODMINDRX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN PATRICK (AUTHORIZED OFFICIAL)
(830) 800-0213
Entity
Organization
Contact information
Practice address
17206 BLANCO RD STE 2101, SAN ANTONIO, TX 78232-2816
(830) 800-0213
Mailing address
17206 BLANCO RD STE 2101, SAN ANTONIO, TX 78232-2816
(830) 800-0213
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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