DEER OAKS SOUTHEAST LLC (NPI# 1619112612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619112612 |
| Entity Type | Organization |
| Organization Name | DEER OAKS SOUTHEAST LLC |
| Practice Address |
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 |
| Practice Telephone | 2106158880 |
| Practice Fax Number | 2105939863 |
| Mailing Telephone | 8883656271 |
| Mailing Fax Number | 2105939863 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | PAUL A BOSKIND (CEO/OWNER) |
| Authorized Official Telephone | 8883656271 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Deer Oaks Southeast LLC | 126 E Main St, San Antonio, Texas 78205 |
| Street Address |
7272 WURZBACH RD SUITE 601 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487608261 | Stacy Rhea Mccord | Psychologist | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2006-05-19 |
| 1083152656 | Emmanuel Mascorro-pinto | Psychologist | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2017-02-03 |
| 1932646031 | Colleen W Mccall | Social Worker | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2017-01-26 |
| 1629512827 | Lismarie Reyes Velez | Psychologist | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-12-07 |
| 1558803262 | Erin Elizabeth Taylor | Social Worker | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-11-11 |
| 1790227957 | Gary M Jordan | Psychologist | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-11-04 |
| 1942752514 | Heidi M Guinen | Social Worker | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2016-10-31 |
| 1770034464 | Brian F Savage | Social Worker | 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240-4801 | 2016-10-18 |
| 1720531353 | Denitrea F Vaughan | Counselor | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2016-08-01 |
| 1043663941 | Timothy Zymantas | Psychologist | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1063990976 | Diane Laverne Coalson | Psychologist | 16803 Turkey Point St, San Antonio, TX 78232-1828 | 2018-08-02 |
| 1396251757 | Dr. Jacob Pickard Phd, Clinical Psychologist, PC | Psychologist | 1854 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1557 | 2017-12-21 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1801317334 | Alliance Psychology Specialists, Pllc | Psychologist | 7201 Broadway St Ste 218, San Antonio, TX 78209-3773 | 2017-07-06 |
| 1508317116 | John Martin Velasquez | Psychologist | 4030 Tallulah Dr, San Antonio, TX 78218-3448 | 2016-10-18 |
| 1275980740 | Richard John Rini | Psychologist | 4607 Midnight Woods St, San Antonio, TX 78249-1817 | 2016-05-15 |
| 1821451402 | Trudi Zaplac, J.d., Ph.d., Pllc | Psychologist | 7715 Wexford Sq, San Antonio, TX 78240-3923 | 2016-04-01 |
| 1174981542 | Needhi Bhaga | Psychologist | 531 Stonewood St, San Antonio, TX 78216-7920 | 2016-02-01 |
| 1457717613 | Tim Peterson | Psychologist | 4940 Broadway St, Suite 139, San Antonio, TX 78209-5747 | 2016-01-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
Please comment or provide details below to improve the information on DEER OAKS SOUTHEAST LLC.
| 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.