Adams, Roosevelt

Adams, Roosevelt is an sole proprietor health care provider with primary practice located at 1852 Lockhill Selma Rd Ste 108 , San Antonio TX 78213-1500. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Adams, Roosevelt can be contacted via phone (210) 789-0588.

Contact Information

Primary practice address
1852 Lockhill Selma Rd Ste 108 San Antonio TX 78213-1500
Phone: (210) 789-0588
Fax: (210) 271-9414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Texas

Profile Details

NPI number 1942767355
LBN Legal business name Adams, Roosevelt
Credentials PASTORAL COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2019
Last updated Feb 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942767355 NPPES
Texas Other 09203449 TEXAS DRIVER'S LICENSE

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