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NPI Code Detail

MEDICARE: CAMINO REAL COMMUNITY MHMR CENTER

MEDICARE: CAMINO REAL COMMUNITY MHMR CENTER
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
11041C0700XClinical Social WorkerNONE
2251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487751715
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMINO REAL COMMUNITY MHMR CENTER
Provider Business Mailing Address
First Line : PO BOX 725
Second Line :
City : LYTLE
State : TX
Zip : 78052-0725
Country : US
Telephone Number : 210-357-0300
Fax Number : 855-240-1374
Provider Business Practice Location Address
First Line : 19965 FM 3175
Second Line :
City : LYTLE
State : TX
Zip : 78052-3481
Country : US
Telephone Number : 210-357-0300
Fax Number : 855-240-1374
Authorized Official
Title or Position : REIMBURSEMENT/CREDENTIALING SPEC
Name : ANDREA CORONA
Credential :
Telephone Number : 210-357-0369
Provider Enumeration Date : 09/20/2006
Last Update Date : 03/19/2026

Similar Medicare Providers

1154411262 — CAMINO REAL COMMUNITY MHMR CENTER
Practice Location Address:
19965 FM 3175
LYTLE, TX
78052-3481
Practice Phone: 210-357-0300
Practice Fax: 855-240-1374
1588765515 — SANDRA KAY FLEMING LPCS
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19965 FM 3175
LYTLE, TX
78052-3481
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1447384839 — LILLI LEIHUA LEONG MSPT
Practice Location Address:
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LYTLE, TX
78052-3481
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Practice Fax:
1073733382 — CHERIE ANN HANSON M.A., CCC-SLP
Practice Location Address:
19965 FM 3175
LYTLE, TX
78052-3481
Practice Phone: 210-357-0300
Practice Fax: 830-709-5493
1659540458 — DANIEL F. ASCENCAO LPC
Practice Location Address:
19965 FM 3175
LYTLE, TX
78052-3481
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1730354432 — ANGELA G LAMANNA OT
Practice Location Address:
19965 FM 3175
LYTLE, TX
78052-3481
Practice Phone: 210-357-0395
Practice Fax: 830-709-5493

Directions to “CAMINO REAL COMMUNITY MHMR CENTER ” Practice Location

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