Organization
BIENESTAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUNICE ADVINCULA CREDENTIALING DEPT. (CREDENTIALING)
(562) 403-4422
Entity
Organization
Contact information
Practice address
11503 JONES MALTSBERGER RD STE 1106, SAN ANTONIO, TX 78216-2630
(210) 344-5651
(210) 547-7902
Mailing address
11503 JONES MALTSBERGER RD STE 1106, SAN ANTONIO, TX 78216-2630
(210) 344-5651
(210) 547-7902
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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