Tkt Enlightenment, LLC
NPI 1407128218ActiveOrganization· Psychiatry & Neurology, Child & Adolescent Psychiatry· San Antonio, TX
Psychiatry & Neurology, Child & Adolescent Psychiatry in San Antonio, Texas, registered in NPPES in February 2012. The authorized official on file is Henry Lysell Polk, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407128218 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2012 |
| Last updated in NPPES | May 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry Primary | 2084P0804X | M7529 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Psychiatry & Neurology, Child & Adolescent Psychiatry providers in San Antonio
- 1376858217
- 1811139058
- 1124140793
- 1831997659
- 1992367155
- 1023676574
- 1639286370
- 1326435066
- 1497258255
- 1558158568
- 1407129299
- 1568610038
All Psychiatry & Neurology, Child & Adolescent Psychiatry providers in Texas →