| Tccg Austin 1 Llc | |
|
4100 E Piedras Dr Ste 210 San Antonio TX 78228-1401 | |
| (210) 361-6130 | |
| Not Available |
| Full Name | Tccg Austin 1 Llc |
|---|---|
| Speciality | Case Management |
| Location | 4100 E Piedras Dr Ste 210, San Antonio, Texas |
| Authorized Official Name and Position | Joshua Smith (OWNER) |
| Authorized Official Contact | 2103616130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tccg Austin 1 Llc 4100 E Piedras Dr Ste 210 San Antonio TX 78228-1401 Ph: () - | Tccg Austin 1 Llc 4100 E Piedras Dr Ste 210 San Antonio TX 78228-1401 Ph: (210) 361-6130 |
| NPI Number | 1407643828 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407643828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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