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NPI Code Detail

MEDICARE: BETTY J PADILLA BECK LCSW

MEDICARE: BETTY J PADILLA BECK LCSW
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 Worker30366TX

General Provider Information

NPI Number : 1841392016
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY J PADILLA BECK LCSW
Provider Business Mailing Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-422-2662
Fax Number : 210-735-4929
Provider Business Practice Location Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-422-2662
Fax Number : 210-735-4929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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Directions to “ BETTY J PADILLA BECK LCSW” Practice Location

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