Healthcare Provider Details
I. General information
NPI: 1548097793
Provider Name (Legal Business Name): DEER OAKS BEHAVIORAL HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2024
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3025 TERRACE DR
LAS CRUCES NM
88011-5053
US
IV. Provider business mailing address
7272 WURZBACH RD STE 601
SAN ANTONIO TX
78240-4803
US
V. Phone/Fax
- Phone: 210-615-3472
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AARON
ASHLEY
BROWN
Title or Position: PRESIDENT AND OWNER
Credential: DO
Phone: 210-615-3483