Organization
BIENESTAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILEY A PATTERSON MD (OWNER/PROVIDER)
(210) 224-6611
Entity
Organization
Contact information
Practice address
300 E GRAYSON ST, SUITE 100, SAN ANTONIO, TX 78215-1219
(210) 224-6611
(877) 968-8288
Mailing address
PO BOX 15613, SAN ANTONIO, TX 78212-8813
(210) 224-6611
(877) 968-8288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G1745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1745
LICENSE
TX
Enumeration date
09/30/2009
Last updated
04/16/2010
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