Provider Demographics
NPI:1659198943
Name:MENTAL HEALTH ASSOCIATES SAN ANTONIO, PLLC
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATES SAN ANTONIO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZARGHOONA
Authorized Official - Middle Name:KHALIL
Authorized Official - Last Name:ULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-776-0306
Mailing Address - Street 1:27511 I-10 W
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006
Mailing Address - Country:US
Mailing Address - Phone:830-340-1100
Mailing Address - Fax:210-939-1426
Practice Address - Street 1:27511 I-10 W
Practice Address - Street 2:BUILDING 5
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006
Practice Address - Country:US
Practice Address - Phone:210-776-0306
Practice Address - Fax:210-939-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty