Provider Demographics
NPI:1497932719
Name:GULYAS, CECILIA (LAC, DOM, PHD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:
Last Name:GULYAS
Suffix:
Gender:F
Credentials:LAC, DOM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15321 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3700
Mailing Address - Country:US
Mailing Address - Phone:210-545-0000
Mailing Address - Fax:
Practice Address - Street 1:15321 SAN PEDRO AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3700
Practice Address - Country:US
Practice Address - Phone:210-545-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00647171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist