Serenity And Awareness Center, Llc | |
19230 Stonehue Suite 105 San Antonio TX 78258-3448 | |
(210) 601-8112 | |
Not Available |
Full Name | Serenity And Awareness Center, Llc |
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Speciality | Clinic/Center |
Location | 19230 Stonehue, San Antonio, Texas |
Authorized Official Name and Position | Sandra Maria Baez-curcio (PRESIDENT/OWNER) |
Authorized Official Contact | 2106018112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity And Awareness Center, Llc Po Box 690130 San Antonio TX 78269-0130 Ph: (210) 601-8112 | Serenity And Awareness Center, Llc 19230 Stonehue Suite 105 San Antonio TX 78258-3448 Ph: (210) 601-8112 |
NPI Number | 1023444858 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 08/10/2015 |
Medicare PECOS PAC ID | 3476780206 |
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Medicare Enrollment ID | O20131226000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023444858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Luis M Baez Cabrera |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770763666 PECOS PAC ID: 1153590203 Enrollment ID: I20110808000352 |
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