Ponce, Mary Zoila

Ponce, Mary Zoila is an individual health care provider with primary practice located at 4538 Centerview Ste 154 , San Antonio TX 78228-1308. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ponce, Mary Zoila can be contacted via phone (210) 233-1566.

Contact Information

Primary practice address
4538 Centerview Ste 154 San Antonio TX 78228-1308
Phone: (210) 233-1566
Fax: (210) 451-7466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 30933 Texas

Profile Details

NPI number 1871542464
LBN Legal business name Ponce, Mary Zoila
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 7th, 2022 - about 3 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 1871542464 NPPES
Texas MEDICAID 151905006

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