Gladys Cisneros, MS
Individual provider Active NPI Professional Counselor · Universal City, TX
NPI 1174072367 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1174072367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 70362 (TX)
- Practice address
- 433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3357 - Phone
- (210) 566-1280
- Fax
- (210) 579-8533
- NPI assigned
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70362 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alba Wellness Case Management LLC | Past | Accepting new patients | |
| Alba Wellness Incorporated | Professional | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70362 | TX | Yes |
Addresses
Primary practice location
433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3357
Mailing address
433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3357
Phone (210) 566-1280
Other providers in Universal City, TX
- Angelina Annette Cervantes
- Debra Q Cervera
- Andrea Chavez-Arreola
- Xu Chen
- Christus Ambulatory Surgery Center at Olympia Hills LLC
- Cristian Clark
- Naomi Marie Clark
- Nicolle M Clark
- Mackenzie Diane Clasgens
- Kennede Clemons-Starks
All providers in Universal City, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.