Healthcare Provider Details

I. General information

NPI: 1558127647
Provider Name (Legal Business Name): ALEJANDRA CUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 NW MILITARY HWY STE 250
SAN ANTONIO TX
78231-2000
US

IV. Provider business mailing address

12500 NW MILITARY HWY STE 250
SAN ANTONIO TX
78231-2000
US

V. Phone/Fax

Practice location:
  • Phone: 210-302-6920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number203971
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: