Individual
TRACEY C CAWTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1747 CITADEL PLZ STE 108, SAN ANTONIO, TX 78209-1016
(210) 385-0400
Mailing address
1747 CITADEL PLZ STE 108, SAN ANTONIO, TX 78209-1016
(210) 385-0400
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
P4552
TX
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
P4552
TX
2084P0015X
Psychosomatic Medicine Physician
P4552
TX
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
P4552
TX
2084P0800X
Psychiatry Physician
Primary
P4552
TX
2084P0802X
Addiction Psychiatry Physician
P4552
TX
2084P0805X
Geriatric Psychiatry Physician
P4552
TX
Other
Enumeration date
08/13/2008
Last updated
03/19/2024
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