Organization
GOOD HEALTH CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA B TREVINO PA-C (PHYSICIAN ASSISTANT/ MANAGER)
(210) 422-2336
Entity
Organization
Contact information
Practice address
505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 932-2565
(210) 932-2566
Mailing address
505 PLEASANTON RD, SAN ANTONIO, TX 78214-1335
(210) 422-2336
(210) 932-2566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710038625
—
TX
Enumeration date
09/06/2019
Last updated
11/01/2019
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