Peach Wood Wellness PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01331 Issued in TX

Legal business name

PEACH WOOD WELLNESS PC

Doing business as

Peachwood Wellness

Practice address

8301 Broadway St
Suite 422
San Antonio, TX 78209-2006

Phone

(210) 701-1509

NPI assigned

Jun 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matthew Hanson, L.AC.NPI 1831538206

Title

President

Phone

(210) 701-1509

Specialties & licenses 1

Addresses

Other names 1

• Peachwood Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Hanson, L.AC.

  • Acupuncturist
  • San Antonio, TX
  • NPI 1831538206
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1538508197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 CROSSPOINT DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 BROADWAY ST",
            "address_2": "SUITE 422",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092006",
            "telephone_number": "210-701-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH WOOD WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-701-1509",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachwood Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adrian Peachey
• Peachwood Wellness PLLC
• Nelda L Peacock, LMSW
• Stephanie Ann Peacock, RN
• Peak Rehabilitation Consulting Group LLC

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.