| Bienestar, Inc. | |
|
300 E Grayson St Suite 100 San Antonio TX 78215-1219 | |
| (210) 224-6611 | |
| (877) 968-8288 |
| Full Name | Bienestar, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 300 E Grayson St, San Antonio, Texas |
| Authorized Official Name and Position | Wiley A Patterson (OWNER/PROVIDER) |
| Authorized Official Contact | 2102246611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bienestar, Inc. Po Box 15613 San Antonio TX 78212-8813 Ph: (210) 224-6611 | Bienestar, Inc. 300 E Grayson St Suite 100 San Antonio TX 78215-1219 Ph: (210) 224-6611 |
| NPI Number | 1356675854 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356675854 | NPI | - | NPPES |
| G1745 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G1745 (Texas) | Primary |
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