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General NPI Number Information
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NPI Number | 1497258255
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Entity Type | Organization
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Legal Business Name | TOTAL INSIGHT PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 6333 DE ZAVALA RD # A236
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2115
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Country | US
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Telephone | 210-399-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 5886 DE ZAVALA RD STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELINDA GLORIA FIERROS
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Credential | M.D.
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Telephone | 210-773-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q7190
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | Q7190
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License Number State | TX
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