Other Side Of Treatment, Pllc

Specialty details in registry · Shavano Park, TX

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At a glance

3619 Paesanos Pkwy, Shavano Park, TX 78231-1253

NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.

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Practice location

3619 Paesanos Pkwy Suite 302
Shavano Park, TX 78231-1253
Professional details: NPI, taxonomy & registry record
NPI1245762681
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR0405X
Enumeration date
Apr 3, 2017
Record updated
Jul 21, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QR0405X

Specialty details in registry

261QR0405X · Primary

License reported: 4173-4174 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3619 Paesanos Pkwy
Suite 302
Shavano Park, TX 78231-1253
Phone
(888) 509-2306
Mailing address
3619 PAESANOS PKWY
SUITE 302
SHAVANO PARK, TX 782311253
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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