Healthcare Provider Details

I. General information

NPI: 1386726073
Provider Name (Legal Business Name): ARTHUR G. BOUTON, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 MCCULLOUGH AVE SUITE 1
SAN ANTONIO TX
78212-3036
US

IV. Provider business mailing address

2702 MCCULLOUGH AVE SUITE 1
SAN ANTONIO TX
78212-3036
US

V. Phone/Fax

Practice location:
  • Phone: 210-735-6231
  • Fax: 210-735-6285
Mailing address:
  • Phone: 210-735-6231
  • Fax: 210-735-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BETSY BOUTON PUENTES
Title or Position: SERETARY/TREASURER
Credential: PSY.D.
Phone: 210-735-6231