Healthcare Provider Details

I. General information

NPI: 1689836116
Provider Name (Legal Business Name): ONE FOR AUTISM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12003 HUEBNER RD
SAN ANTONIO TX
78230-1203
US

IV. Provider business mailing address

12003 HUEBNER RD
SAN ANTONIO TX
78230-1203
US

V. Phone/Fax

Practice location:
  • Phone: 210-680-8737
  • Fax: 210-696-6600
Mailing address:
  • Phone: 210-680-8737
  • Fax: 210-696-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: OLGA BERENICE VASQUEZ-SILVA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 210-680-8737