Organization
THE SARAH ELAINE WELLNESS CENTER OF SOUTH TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HERNANDEZ SR. LCSW (PRESIDENT AND CEO)
(210) 789-3487
Entity
Organization
Contact information
Practice address
7103 W BEVERLY MAE DR, SAN ANTONIO, TX 78229-4943
(210) 789-3487
(210) 615-7096
Mailing address
7103 W BEVERLY MAE DR, SAN ANTONIO, TX 78229-4943
(210) 789-3487
(210) 615-7096
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
32412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158370001
—
TX
05
—
158370004
—
TX
Enumeration date
04/29/2011
Last updated
04/29/2011
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