Our Lady of the Lake University
NPI #1982753448 in San Antonio, Texas
Provider Information
- NPI Number
- 1982753448
- Entity Type
- Organization
- Organization Name
- Our Lady of the Lake University
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 590 N GENERAL MCMULLEN DR
- Address 2
- 3
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78228-6205
- Phone
- (210) 434-1054
Authorized Official
- Name
- BERNADETTE H SOLORZANO
- Title
- CLINIC DIRECTOR
- Phone
- (210) 434-1054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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