Provider Demographics
NPI:1336312297
Name:MARRIAGE AND FAMILY INSTITUTE OF SAN ANTONIO
Entity type:Organization
Organization Name:MARRIAGE AND FAMILY INSTITUTE OF SAN ANTONIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-226-8407
Mailing Address - Street 1:1528 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4309
Mailing Address - Country:US
Mailing Address - Phone:210-226-8407
Mailing Address - Fax:210-226-8420
Practice Address - Street 1:1528 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4309
Practice Address - Country:US
Practice Address - Phone:210-226-8407
Practice Address - Fax:210-226-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty