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NPI Code Detail

MEDICARE: MR. ARTHUR E FREYRE III LPC , PMHNP

MEDICARE: MR. ARTHUR E FREYRE III LPC , PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1111706TX
2101YP2500XProfessional Counselor66644TX

General Provider Information

NPI Number : 1982945879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARTHUR E FREYRE III LPC , PMHNP
Provider Business Mailing Address
First Line : 10807 PERRIN BEITEL RD STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-3144
Country : US
Telephone Number : 210-245-7862
Fax Number : 210-245-7951
Provider Business Practice Location Address
First Line : 10807 PERN BETL RD STE 300
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-3144
Country : US
Telephone Number : 210-245-7862
Fax Number : 210-245-7951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2013
Last Update Date : 05/09/2024

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