| Serenagroup Professional Services, Pllc. | |
|
9502 Huebner Road Suite 301 San Antonio TX 78240-1683 | |
| (913) 426-4995 | |
| Not Available |
| Full Name | Serenagroup Professional Services, Pllc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9502 Huebner Road, San Antonio, Texas |
| Authorized Official Name and Position | Thomas E. Serena (OWNER) |
| Authorized Official Contact | 9134264995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenagroup Professional Services, Pllc. 90 Sherman St Cambridge MA 02140-3264 Ph: () - | Serenagroup Professional Services, Pllc. 9502 Huebner Road Suite 301 San Antonio TX 78240-1683 Ph: (913) 426-4995 |
| NPI Number | 1780058834 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 0143619668 |
|---|---|
| Medicare Enrollment ID | O20211122002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780058834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Steven Nail |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1114978137 PECOS PAC ID: 3072519214 Enrollment ID: I20061011000751 |
| Provider Name | Thomas Serena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194714139 PECOS PAC ID: 0648183947 Enrollment ID: I20210503000433 |
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