| Restore Primary Care, Wellness And Behavioral Health | |
|
Parvus Medical Suite, Llc Westover Hills Medical Plaza Ii Suite 240 11212 St Hwy San Antonio TX 78251 | |
| (210) 385-8306 | |
| Not Available |
| Full Name | Restore Primary Care, Wellness And Behavioral Health |
|---|---|
| Speciality | Family Medicine |
| Location | Parvus Medical Suite, Llc, San Antonio, Texas |
| Authorized Official Name and Position | Stella Williams (OWNER/FNP) |
| Authorized Official Contact | 2103858306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Primary Care, Wellness And Behavioral Health 24103 Range Water San Antonio TX 78261-2372 Ph: (210) 385-8306 | Restore Primary Care, Wellness And Behavioral Health Parvus Medical Suite, Llc Westover Hills Medical Plaza Ii Suite 240 11212 St Hwy San Antonio TX 78251 Ph: (210) 385-8306 |
| NPI Number | 1952047003 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 6608251715 |
|---|---|
| Medicare Enrollment ID | O20220909001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952047003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stellamaris E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355375 PECOS PAC ID: 0244599249 Enrollment ID: I20180122000210 |
| Provider Name | Valentina Chikenma Okechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225512 PECOS PAC ID: 7618376492 Enrollment ID: I20210527001226 |
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