Provider Demographics
NPI:1568741254
Name:DANIEL R TOVAR
Entity Type:Organization
Organization Name:DANIEL R TOVAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:915-920-7205
Mailing Address - Street 1:1520 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4219
Mailing Address - Country:US
Mailing Address - Phone:915-920-7205
Mailing Address - Fax:915-351-6601
Practice Address - Street 1:1520 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4219
Practice Address - Country:US
Practice Address - Phone:915-920-7205
Practice Address - Fax:915-351-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty