| Inbodied | |
|
216 Quentin Dr San Antonio TX 78201-3730 | |
| (253) 344-0769 | |
| Not Available |
| Full Name | Inbodied |
|---|---|
| Speciality | Social Worker |
| Location | 216 Quentin Dr, San Antonio, Texas |
| Authorized Official Name and Position | Shannyn S Vicente (OWNER) |
| Authorized Official Contact | 2533440769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inbodied 216 Quentin Dr San Antonio TX 78201-3730 Ph: (253) 344-0769 | Inbodied 216 Quentin Dr San Antonio TX 78201-3730 Ph: (253) 344-0769 |
| NPI Number | 1205535226 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 7416314539 |
|---|---|
| Medicare Enrollment ID | O20230606000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205535226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannyn S Vicente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962761361 PECOS PAC ID: 0941453922 Enrollment ID: I20180607002950 |
| Provider Name | Sharon Alvandi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619495850 PECOS PAC ID: 6406275320 Enrollment ID: I20200928000005 |
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