Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 30742 | TX |
N | 103TC0700X | Clinical Psychologist | 30742 | TX |
N | 103TH0100X | Health Service | 30742 | TX |
NPI | 1508841727 |
---|---|
Provider Name | Dr. Alan John Maiers |
First Address | San Antonio, TX 78239-2724 |
Second Address | Fort Sam Houston, TX 78234-6200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/07/2007 |