Organization
BIENESTAR CENTRE, INC.
Active
Other names
Pain and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MOEHR (PRESIDENT)
(936) 355-0065
Entity
Organization
Contact information
Practice address
284 I-45 SUITE 1, HUNTSVILLE, TX 77340
(936) 355-0065
Mailing address
284 I-45 SUITE 1, HUNTSVILLE, TX 77340
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H9937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8W1180
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/19/2008
Last updated
02/19/2008
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