Healthcare Provider Details

I. General information

NPI: 1467972877
Provider Name (Legal Business Name): REMARIZE ANNE EYSTER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. REMARIZE ANNE HOWELL

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 06/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3619 PAESANOS PKWY STE 302
SAN ANTONIO TX
78231-1259
US

IV. Provider business mailing address

106 BLUE HILL RD
SAN ANTONIO TX
78229-4202
US

V. Phone/Fax

Practice location:
  • Phone: 888-509-2306
  • Fax: 888-507-5146
Mailing address:
  • Phone: 210-779-6065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2524-5077
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: