DR. AUGUSTIN SICARD


Address: 1007 W Theo Ave, San Antonio, TX 78225-1849
Phone: 2103178854

DR. AUGUSTIN SICARD (NPI# 1396722039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396722039
Entity Type Individual
Full Name DR. AUGUSTIN SICARD
Credential LPC, LMFT
Practice Address 1007 W Theo Ave
San Antonio
TX 78225-1849
Practice Telephone 2103178854
Practice Fax Number 2109226633
Mailing Telephone 2103178854
Mailing Fax Number 2109226633
Enumeration Date 2005-12-23
Last Update Date 2011-04-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2328 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 025732102 05
TX BLUE CROSS BLUE SHIELD 83542L 01

Office Location

Street Address 1007 W THEO AVE
City SAN ANTONIO
State TX
Zip Code 78225-1849

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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