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NPI Code Detail

MEDICARE: MR. RAUL URESTE LPC

MEDICARE: MR. RAUL URESTE LPC
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
1101YP2500XProfessional Counselor65779TX

General Provider Information

NPI Number : 1649563016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAUL URESTE LPC
Provider Business Mailing Address
First Line : 1514 W SUMMIT AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-5150
Country : US
Telephone Number : 210-326-2620
Fax Number :
Provider Business Practice Location Address
First Line : 9401 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 832-942-3484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2011
Last Update Date : 03/02/2026

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