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NPI Code Detail

MEDICARE: DELORES ANN HAINES LMFT

MEDICARE: DELORES ANN HAINES LMFT
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
1106H00000XMarriage & Family Therapist201257TX

General Provider Information

NPI Number : 1811046725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES ANN HAINES LMFT
Provider Business Mailing Address
First Line : 6800 PARK TEN BLVD STE 200S
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78213-4293
Country : US
Telephone Number : 210-261-1060
Fax Number : 210-261-1821
Provider Business Practice Location Address
First Line : 6812 BANDERA RD STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1378
Country : US
Telephone Number : 210-261-3350
Fax Number : 210-684-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 11/03/2023

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Directions to “ DELORES ANN HAINES LMFT” Practice Location

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