Born Again Chronic Pain Management
Counselor, Mental Health in San Antonio, TX. Organization (NPI-2).
NPI number1760616338
StatusActive
Last updated in NPPESMay 11, 2009
Details
- NPI
- 1760616338
- Entity type
- Organization (NPI-2)
- Legal business name
- Born Again Chronic Pain Management
- Organization subpart
- No
- Enumeration date
- May 11, 2009
- Last updated
- May 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 20067 | TX | Yes |
Practice location
514 El Paso StSan Antonio, TX 78207-5006
Phone 210-467-2005
Mailing address
Po Box 14237San Antonio, TX 78214-0237
Phone 210-467-2005
Authorized official
Romo Pardo
President
2104672005
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