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NPI Code Detail

MEDICARE: JOSE URIBE

MEDICARE:   JOSE  URIBE
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
1106S00000XBehavior TechnicianTX
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1144738006
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE URIBE
Provider Business Mailing Address
First Line : 3700 RIDGE COUNTRY ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3463
Country : US
Telephone Number : 210-598-7212
Fax Number :
Provider Business Practice Location Address
First Line : 3700 RIDGE COUNTRY ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3463
Country : US
Telephone Number : 210-598-7212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2018
Last Update Date : 11/16/2022

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Directions to “ JOSE URIBE ” Practice Location

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