# RESTORE PRIMARY CARE, WELLNESS AND BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restore Primary Care, Wellness and Behavioral Health, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578218251
- **Authorized official:** MS. DENISE HUGHES (CFO)
- **Authorized official phone:** (210) 383-1144

## Contact information

- **Practice address:** 24103 RANGE WATER, SAN ANTONIO, TX 78261-2372
- **Practice address phone:** (219) 385-8306
- **Mailing address:** 8407 DUDLEY DR, SAN ANTONIO, TX 78230-4520
- **Mailing address phone:** (210) 383-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/21/2022