CLYDE A KEEBAUGH


Address: 3031 W Ih 10, San Antonio, TX 78201-5159
Phone: 2102611000

CLYDE A KEEBAUGH (NPI# 1790232916) 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) 1790232916
Entity Type Individual
Full Name CLYDE A KEEBAUGH
Credential LCDC
Practice Address 3031 W Ih 10
San Antonio
TX 78201-5159
Practice Telephone 2102611000
Practice Fax Number 2107318678
Mailing Telephone 2102611000
Mailing Fax Number 2107318678
Enumeration Date 2016-09-06
Last Update Date 2016-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
7422 TX Behavioral Health & Social Service Providers

Office Location

Street Address 3031 W IH 10
City SAN ANTONIO
State TX
Zip Code 78201-5159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003810680 Echo J Walby Physician Assistant 3031 W Ih 10, San Antonio, TX 78201-5159 2005-06-10
1235679051 Cory Lovejoy Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2017-02-27
1376081430 Evan Robert Smith Social Worker 3031 W Ih 10, Attention : Credentialing, San Antonio, TX 78201-5159 2017-02-08
1992242234 Priscilla Sanchez Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2017-01-25
1285179259 Sharon Ortiz Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2016-12-30
1538601075 Alebachew Kindie Registered Nurse 3031 W Ih 10, San Antonio, TX 78201-5159 2016-11-15
1477001279 Regina A Mirando Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2016-09-21
1538614847 Barbara Curtis Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2016-08-17
1285189498 Michael Guerra Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2016-08-17
1598117038 Justin Gaston Ingram Counselor 3031 W Ih 10, San Antonio, TX 78201-5159 2016-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043864648 Woodlawn Lake Dental Partners Pllc Dentist 1707 Williams, San Antonio, TX 78201 2019-07-31
1912559840 Tara Devi Nath Dentist 1770 Williams, San Antonio, TX 78201 2019-07-11
1205329042 Louis A Gonzalez Registered Nurse 2362 W Gramercy Pl, San Antonio, TX 78201 2018-06-06
1194212860 Zarzamora Healthcare LLC Pharmacy 6800 W Ih 10 # 200a, San Antonio, TX 78201 2018-04-18
1891211926 Jessica Ann Salazar Specialist/Technologist 511 Crestview Dr, San Antonio, TX 78201 2017-08-21
1093262172 Access Dental of Fredericksburg Pa Dentist 4315 Fredericksburg Balcones Height, 100a, San Antonio, TX 78201 2016-09-06
1144664962 Raymond Evan Skunda Orthopaedic Surgery 6800 W Ih 10 Ste 250, San Antonio, TX 78201 2013-04-23
1114289477 Shaun D Perryman Dentist 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 2012-06-13
1871872093 Jose Miguel Urencio Marcue Surgery 6800 W Ih 10 Ste 200, San Antonio, TX 78201 2011-08-04
1962719658 Julio C Mata Specialist/Technologist, Other 426 Concord Pl, San Antonio, TX 78201 2010-09-02
Find all providers in zip 78201

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346849148 Priscilla Rosas Counselor 8431 Chivalry St, San Antonio, TX 78254 2020-10-22
1861007452 David Cortez I Counselor 437 Mccarty Rd, San Antonio, TX 78216-4445 2020-09-10
1174136238 Christine E Myers Counselor 7915 Avellano, San Antonio, TX 78250-5151 2020-08-28
1013528413 Jaime Valdes Counselor 307 One Oak Dr, San Antonio, TX 78228-1530 2020-08-11
1114548161 Ben Ligon Counselor 3 Inwood Oaks, San Antonio, TX 78248-1624 2020-04-30
1528688165 Tyrone Samuel Charles Jr. Counselor 5312 Cilantro Pl, San Antonio, TX 78238-2346 2020-04-23
1730727793 Stephanie Lynn Pirtz Counselor 455 Solar Dr, San Antonio, TX 78227-3838 2019-12-20
1750928339 Catherine Rose Rodriguez Counselor 571 Spencer Ln Ste 101, San Antonio, TX 78201-2030 2019-12-03
1235775206 Liddia George Counselor 419 E Magnolia Ave, San Antonio, TX 78212-3012 2019-11-25
1679123335 Jordan Nicole Cienski Counselor 814 Camden St, San Antonio, TX 78215-1445 2019-09-16
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78201

Improve Information

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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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