| Forensic Associates Of San Antonio, Pa | |
|
16500 San Pedro Ave Ste 215 San Antonio TX 78232-2253 | |
| (210) 403-2050 | |
| (210) 403-9890 |
| Full Name | Forensic Associates Of San Antonio, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 16500 San Pedro Ave Ste 215, San Antonio, Texas |
| Authorized Official Name and Position | Susan Kraft (OFFICE MANAGER) |
| Authorized Official Contact | 2104032050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Associates Of San Antonio, Pa 16500 San Pedro Ave Ste 215 San Antonio TX 78232-2253 Ph: (210) 403-2050 | Forensic Associates Of San Antonio, Pa 16500 San Pedro Ave Ste 215 San Antonio TX 78232-2253 Ph: (210) 403-2050 |
| NPI Number | 1194806174 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 0648241133 |
|---|---|
| Medicare Enrollment ID | O20040805001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194806174 | NPI | - | NPPES |
| 00082X | Medicaid | TX | |
| 175075401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 30785 (Texas) | Primary |
| Provider Name | Fernando J Esparza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992753701 PECOS PAC ID: 4082685573 Enrollment ID: I20040806000961 |
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