# SERENITY MEDICINE OF TEXAS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528641362
- **Authorized official:** DR. TRACEY CAWTHORN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (210) 919-0988

## Contact information

- **Practice address:** 3003 CHARTER ROCK ST, SAN ANTONIO, TX 78230-3405
- **Practice address phone:** (210) 385-0400
- **Mailing address:** 1747 CITADEL PLZ STE 108, SAN ANTONIO, TX 78209-1016
- **Mailing address phone:** (210) 385-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084H0002X | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084H0002X | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | — |
| 2084P0015X | Psychosomatic Medicine Physician | — | NULL | — |
| 2084P0015X | Psychosomatic Medicine Physician | — | — | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 07/11/2024