Organization
SERENITY OAKS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL G MARTINEZ MD (OWNER)
(210) 549-4333
Entity
Organization
Contact information
Practice address
5368 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-6108
(210) 549-4333
(210) 549-4339
Mailing address
5368 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-6108
(210) 549-4333
(210) 549-4339
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J9906
LICENSE
TX
Enumeration date
04/20/2019
Last updated
04/20/2019
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