Provider Demographics
NPI:1306323985
Name:SERRATA AND HURTADO, INC.
Entity type:Organization
Organization Name:SERRATA AND HURTADO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:VASQUEZ
Authorized Official - Last Name:SERRATA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-326-9185
Mailing Address - Street 1:4422 PACK SADDLE PASS STE 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1644
Mailing Address - Country:US
Mailing Address - Phone:512-956-9420
Mailing Address - Fax:512-870-9772
Practice Address - Street 1:4422 PACK SADDLE PASS STE 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1644
Practice Address - Country:US
Practice Address - Phone:512-956-9420
Practice Address - Fax:512-870-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty