Provider Demographics
NPI:1386726073
Name:ARTHUR G. BOUTON, PC
Entity type:Organization
Organization Name:ARTHUR G. BOUTON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:BOUTON
Authorized Official - Last Name:PUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:210-735-6231
Mailing Address - Street 1:2702 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3036
Mailing Address - Country:US
Mailing Address - Phone:210-735-6231
Mailing Address - Fax:210-735-6285
Practice Address - Street 1:2702 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3036
Practice Address - Country:US
Practice Address - Phone:210-735-6231
Practice Address - Fax:210-735-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty