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NPI Code Detail

MEDICARE: MRS. SERENAH PALMER

MEDICARE: MRS. SERENAH PALMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1033669775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SERENAH PALMER
Provider Business Mailing Address
First Line : 7731 SILVER GRV
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-2703
Country : US
Telephone Number : 660-624-2630
Fax Number :
Provider Business Practice Location Address
First Line : 150 W SUNSET RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-2633
Country : US
Telephone Number : 210-998-2597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 02/17/2020

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Directions to “ MRS. SERENAH PALMER ” Practice Location

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