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NPI Code Detail

MEDICARE: DR. CHRISTINE M VARELA MAYER PHD

MEDICARE:  DR. CHRISTINE M VARELA MAYER  PHD
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
1101YA0400XAddiction (Substance Use Disorder) Counselor15432TX

General Provider Information

NPI Number : 1831782788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE M VARELA MAYER PHD
Provider Business Mailing Address
First Line : 2015 NE LOOP 410
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5411
Country : US
Telephone Number : 210-291-6426
Fax Number :
Provider Business Practice Location Address
First Line : 2015 NE LOOP 410
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5411
Country : US
Telephone Number : 210-291-6426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/11/2021

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