Dodge, Anthony R

Dodge, Anthony R is an sole proprietor health care provider with primary practice located at 9150 Huebner Rd Ste. 210, San Antonio TX 78240-1558. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dodge, Anthony R can be contacted via phone (210) 341-2201.

Contact Information

Primary practice address
9150 Huebner Rd Ste. 210 San Antonio TX 78240-1558
Phone: (210) 341-2201
Fax: (210) 641-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 24841 Texas

Profile Details

NPI number 1801930540
LBN Legal business name Dodge, Anthony R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1801930540 NPPES
Texas MEDICAID POOOL41A2
Texas Other 24841

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