MEDICARE: OSCAR ARMENDARIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	73663	TX

General Provider Information

NPI Number	:	1649738998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR ARMENDARIZ

Provider Business Mailing Address
First Line	:	12223 LUCKEY SMT
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78252-2328
Country	:	US
Telephone Number	:	210-412-0529
Fax Number	:

Provider Business Practice Location Address
First Line	:	5825 CALLAGHAN RD STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1107
Country	:	US
Telephone Number	:	832-356-9843
Fax Number	:	210-579-8578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	09/03/2024

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Directions to “ OSCAR ARMENDARIZ ” Practice Location

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