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NPI Code Detail

MEDICARE: SHILOH OAK BEHAVIORAL HEALTH PLLC

MEDICARE: SHILOH OAK BEHAVIORAL HEALTH PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1790641702
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHILOH OAK BEHAVIORAL HEALTH PLLC
Provider Business Mailing Address
First Line : 12370 POTRANCO RD STE 207
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-4261
Country : US
Telephone Number : 210-338-9701
Fax Number : 210-346-9144
Provider Business Practice Location Address
First Line : 12370 POTRANCO RD STE 207
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-4261
Country : US
Telephone Number : 210-338-9701
Fax Number : 210-346-9144
Authorized Official
Title or Position : MANAGER
Name : DR. CHINWE OJIYI
Credential : PMHNP-BC
Telephone Number : 210-338-9701
Provider Enumeration Date : 01/03/2026
Last Update Date : 01/03/2026

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Directions to “SHILOH OAK BEHAVIORAL HEALTH PLLC ” Practice Location

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