# GOOD HEALTH CLINIC, PLLC

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

## Provider details

- **NPI number:** 1609425115
- **Authorized official:** SYLVIA B TREVINO PA-C (PHYSICIAN ASSISTANT/ MANAGER)
- **Authorized official phone:** (210) 422-2336

## Contact information

- **Practice address:** 505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
- **Practice address phone:** (210) 932-2565
- **Practice address fax:** (210) 932-2566
- **Mailing address:** 505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
- **Mailing address phone:** (210) 422-2336
- **Mailing address fax:** (210) 932-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 11/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1710038625 | — | TX |