The Sarah Elaine Wellness Center of South Texas, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

32412 Issued in TX

Legal business name

THE SARAH ELAINE WELLNESS CENTER OF SOUTH TEXAS, INC.

Practice address

7103 W Beverly Mae Dr
San Antonio, TX 78229-4943

Phone

(210) 789-3487

Fax

(210) 615-7096

NPI assigned

Apr 29, 2011

Last updated

Apr 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Hernandez Sr., LCSWNPI 1649265075

Title

President and Ceo

Phone

(210) 789-3487

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Hernandez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1649265075
  NPD (past) Authorized official

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1689965287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 W BEVERLY MAE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294943",
            "telephone_number": "210-789-3487",
            "fax_number": "210-615-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 W BEVERLY MAE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294943",
            "telephone_number": "210-789-3487",
            "fax_number": "210-615-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SARAH ELAINE WELLNESS CENTER OF SOUTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "210-789-3487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TX",
            "license": "32412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158370004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158370001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The San Antonio Orthopaedic Group, LLP
• The Sarah Roberts French Home
• The Scooter Doctor (Texas Scooter Shop)
• The Seraphic Sisters, Inc.
• The Simian Diagnostic Laboratory, LTD (VRL Labs)
• The Skin Center of San Antonio, PLLC

• Voluntary or Charitable Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Voluntary or Charitable Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.