Center Of Advanced Wellness | |
8723 Botts St San Antonio TX 78217-6334 | |
(210) 783-7333 | |
Not Available |
Full Name | Center Of Advanced Wellness |
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Speciality | Clinic/Center |
Location | 8723 Botts St, San Antonio, Texas |
Authorized Official Name and Position | Chris Ciani (CEO) |
Authorized Official Contact | 8139448966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center Of Advanced Wellness 8723 Botts St San Antonio TX 78217-6334 Ph: () - | Center Of Advanced Wellness 8723 Botts St San Antonio TX 78217-6334 Ph: (210) 783-7333 |
NPI Number | 1619501939 |
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Provider Enumeration Date | 02/25/2020 |
Last Update Date | 11/24/2020 |
Medicare PECOS PAC ID | 3072927425 |
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Medicare Enrollment ID | O20210127000768 |
Identifier | Type | State | Issuer |
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1619501939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Brenda Flores |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093067225 PECOS PAC ID: 5395999460 Enrollment ID: I20130808000425 |
Provider Name | Michael Gomez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275167801 PECOS PAC ID: 2466867205 Enrollment ID: I20210209001219 |
Provider Name | Clarissa Marie Guerrero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811522105 PECOS PAC ID: 6406264142 Enrollment ID: I20210420000147 |
Provider Name | Samantha Michelle Hutchinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235619438 PECOS PAC ID: 2264831478 Enrollment ID: I20210520000607 |
Provider Name | Kiran Kassim Mendha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790210912 PECOS PAC ID: 4587935382 Enrollment ID: I20210719000014 |
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