Organization
MIND, BODY & SOUL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT BRYAN LCDC/MSW (OWNER/OPERATOR)
(210) 551-8244
Entity
Organization
Contact information
Practice address
1139 GEMBLER RD, SAN ANTONIO, TX 78219-3224
(210) 551-8244
(210) 263-9765
Mailing address
6039 LAKEVIEW DR, SAN ANTONIO, TX 78244-1689
(210) 551-8244
(210) 263-9765
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
10715
TX
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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